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Louisiana 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
$7.15 / $8.81 / $19.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $8.81 / $9.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $18.53 / $26.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.73 / $7.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.79 / $8.81