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Missouri 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
$5.28 / $8.60 / $12.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $7.00 / $13.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $9.98
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 / $6.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $11.09 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.15 / $14.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $6.15 / $9.36