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Washington rates for HCPCS A4316

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

Facilitymedian $38 · 10th–90th $27–$760%10%20%10th90th$38Professionalmedian $25 · 10th–90th $16–$560%10%10th90th$25$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $22.91 / $44.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $53.70 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $87.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $33.88
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $33.88
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $34.67 / $64.57
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $38.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $32.36
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $34.67 / $60.26