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Missouri 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
$16.98 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $24.55 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $34.67 / $177.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.95 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $18.20 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.05 / $28.18