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Mississippi 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
Facility
Modifier
Low / Median / High Price
$33.01 / $33.01 / $34.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $33.01 / $34.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.28 / $32.28 / $35.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.74 / $30.74 / $30.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $19.37 / $19.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $28.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.68 / $38.01