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Maine rates for HCPCS A4355

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

Facilitymedian $6 · 10th–90th $5–$60%50%10th90th$6Professionalmedian $8 · 10th–90th $4–$110%20%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $6.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $11.22
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.79 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $9.33 / $10.96