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Hawaii 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
$6.08 / $6.08 / $6.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $10.67 / $10.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $8.81 / $14.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $14.05 / $14.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $13.42 / $18.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $10.67 / $14.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $11.19 / $12.78