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Oklahoma 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
$20.38 / $20.38 / $24.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $20.07 / $20.38
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $22.05 / $178.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $19.01 / $33.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $16.82 / $24.14