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Texas 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
$19.80 / $25.72 / $29.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $26.06 / $34.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $47.94 / $111.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $21.20 / $21.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.68 / $39.68 / $39.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.33 / $19.37 / $19.95
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
$178.68 / $188.48 / $188.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.42 / $199.53 / $297.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $29.76 / $39.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $33.72 / $39.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $28.40 / $39.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $28.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $18.30 / $24.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $39.68