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North Carolina 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
$10.91 / $90.50 / $123.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $10.91 / $10.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $18.48 / $22.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $9.35 / $9.97
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 / $5.85 / $14.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $10.91 / $14.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $23.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.16 / $9.75
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $61.68 / $93.45