go back

Idaho rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.23 / $2.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $2.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00