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New York 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 / $31.62 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $23.99 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $63.10
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.11 / $33.11
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $61.66 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $28.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $66.07 / $154.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $46.77 / $77.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $24.55 / $28.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.49 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.95 / $34.67
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $24.55