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Iowa 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
$7.71 / $7.95 / $7.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $7.91 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $13.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $13.18 / $18.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $13.59 / $15.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $14.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $6.36 / $16.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.51 / $13.55 / $16.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.51 / $25.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $6.15 / $10.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.09 / $11.09 / $11.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $11.09 / $11.09