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Illinois rates for HCPCS A4355

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

Facilitymedian $13 · 10th–90th $7–$710%20%10th90th$13Professionalmedian $7 · 10th–90th $5–$140%20%10th90th$7$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $27.54 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $8.71
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.79 / $19.05
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.01 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.17 / $9.33