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Idaho 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
$7.06 / $14.37 / $14.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $7.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $8.36 / $14.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $10.59 / $11.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.59 / $18.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $11.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.28 / $8.19