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Mississippi 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
$10.36 / $10.36 / $10.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $10.36 / $10.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.13 / $10.13 / $11.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $9.65 / $9.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.85 / $13.10