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Indiana rates for HCPCS A4355

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $10.67 / $12.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $7.91 / $10.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.35 / $10.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $7.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $13.71 / $18.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $13.71 / $16.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $10.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.96 / $8.91