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Missouri rates for HCPCS A4355

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

Facilitymedian $9 · 10th–90th $5–$250%10%10th90th$9Professionalmedian $7 · 10th–90th $5–$120%10%20%10th90th$7$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.50 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $12.59
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 / $5.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.47 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.17 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.75 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $9.55