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Kansas 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
$13.61 / $13.61 / $13.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $6.57 / $13.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $7.20 / $7.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $14.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $10.65 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $6.15 / $15.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.87 / $8.38