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Montana rates for HCPCS A4355

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $10.47 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.71 / $11.75
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.96 / $21.38
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.96 / $21.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $10.47 / $13.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.75 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.79 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.25 / $6.17