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Irrigation Tubing Set for Continuous Bladder Irrigation

Illinois rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $7$690%20%10th90th$13Professionalmedian $8 · 10th–90th $5$140%20%10th90th$8$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.76
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$27.54
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.13
Typical High
$5.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.79
Typical High
$19.05
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$12.59
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.17
Typical High
$10.23