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Maine rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $19.50 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $20.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $41.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $24.55 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.95 / $37.15