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Kentucky 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
$4.12 / $6.40 / $7.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $7.59 / $10.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $6.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $17.44 / $20.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $14.95 / $20.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $14.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $14.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.50 / $16.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.87 / $8.22