go back

Arizona rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $6.60 / $10.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.25 / $29.80 / $53.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $9.69 / $13.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $7.86 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.29 / $7.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.29 / $7.96