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North Carolina 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
$34.75 / $34.75 / $42.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $34.75 / $34.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.80 / $52.77 / $58.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $29.76 / $31.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $19.37 / $46.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $34.75 / $47.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $45.20 / $69.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $19.62 / $31.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $188.48 / $188.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $297.60