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Arkansas rates for HCPCS A4355

Irrigation Tubing Set For Continuous Bladder Irrigation Through A Three-Way Indwelling Foley Catheter Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.03 / $10.03 / $10.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $10.03 / $10.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $13.68 / $15.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $11.34 / $12.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $12.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $7.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $9.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.79 / $7.49