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Maine rates for HCPCS A4316

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Three-Way For Continuous Irrigation (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $22.76 / $22.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $17.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $19.37 / $30.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $28.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $32.35 / $32.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.37 / $22.76 / $22.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $19.79 / $45.52