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Virginia rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $10.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $10.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.39 / $2.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,750.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,750.00 / $10,945.00