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Minnesota 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
$7.95 / $7.95 / $7.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.95 / $8.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $13.30 / $17.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $12.09 / $12.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $38.28 / $106.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $15.50 / $18.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $36.72 / $83.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $14.63 / $14.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $12.46 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.29 / $13.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.29 / $12.51