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West Virginia 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
$21.89 / $21.89 / $21.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $21.89 / $25.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.79 / $53.57 / $69.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.79 / $27.78 / $47.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $19.37 / $46.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $19.37 / $28.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $19.79 / $29.65