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Maryland rates for HCPCS A4355

Irrigation Tubing Set For Continuous Bladder Irrigation Through A Three-Way Indwelling Foley Catheter Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $36.75 / $67.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.70 / $10.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.09 / $8.52
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 / $5.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $12.46 / $17.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.22 / $9.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $8.72