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Montana rates for HCPCS A4355

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

Facilitymedian $11 · 10th–90th $7–$330%20%40%10th90th$11Professionalmedian $9 · 10th–90th $5–$140%10%20%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $11.75 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $11.75 / $11.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $21.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $21.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $13.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.79 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.25 / $7.08