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Washington, DC 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
$8.42 / $8.42 / $8.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.09 / $8.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $5.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $24.74 / $24.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.22 / $10.29