go back

Oregon 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
Professional
Modifier
Low / Median / High Price
$11.65 / $24.73 / $114.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $19.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $71.73 / $87.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $29.56 / $37.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $30.36 / $35.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.78 / $32.94 / $39.68
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $33.72 / $39.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $29.54 / $34.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $29.54 / $37.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.10 / $37.10 / $37.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $16.82 / $32.10