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Wisconsin rates for HCPCS A4316

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

Facilitymedian $41 · 10th–90th $35–$740%20%40%10th90th$41Professionalmedian $30 · 10th–90th $18–$600%10%10th90th$30$10.0$20.0$50.0$100.0$200.0

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
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $123.03 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $47.86 / $75.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $34.67 / $57.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $60.26 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $39.81 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $45.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $107.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $81.28 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $199.53
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $18.62 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.95 / $32.36