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Tennessee 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
$20.50 / $20.50 / $25.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $24.52 / $34.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.64 / $35.71 / $35.71
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $178.68 / $188.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $199.53 / $297.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $18.44 / $25.35