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Connecticut 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
$8.02 / $8.02 / $8.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $8.02 / $8.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $5.35
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 / $5.08
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $8.10 / $8.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $11.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $6.22 / $10.36