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Montana rates for HCPCS A4316

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

Facilitymedian $33 · 10th–90th $21–$410%20%40%10th90th$33Professionalmedian $27 · 10th–90th $17–$450%10%20%10th90th$27$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $35.48 / $35.48
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $64.57
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $64.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $44.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $22.91