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Virginia 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
$20.85 / $20.85 / $25.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $20.85 / $28.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $17.89 / $23.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $21.43 / $25.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.46 / $23.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $33.72 / $45.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $23.08 / $40.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $44.30 / $56.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $26.68 / $48.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.24 / $26.68 / $48.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $18.39 / $28.30