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Minnesota rates for HCPCS A4316

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $23.99 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $46.77 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $147.91 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $51.29 / $58.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $147.91 / $281.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $39.81 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.98 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.14 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.62 / $48.98