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California rates for HCPCS A4355

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.66 / $35.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.78 / $35.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $4.63 / $12.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $11.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $17.03 / $26.32
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $26.74 / $46.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $5.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $12.46 / $14.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $8.72 / $19.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $61.68 / $93.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $10.91 / $12.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $10.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.51 / $23.51 / $23.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $10.41 / $13.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $5.29 / $13.71