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Montana 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
$34.06 / $114.48 / $114.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $31.31 / $35.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $28.04 / $35.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $33.72 / $35.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $26.68 / $35.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $16.82 / $19.26