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Vermont rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $23.99 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.60 / $19.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $29.51 / $83.18