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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

Facilitymedian $13 · 10th–90th $6$1230%10%20%10th90th$13Professionalmedian $9 · 10th–90th $5$100%20%10th90th$9$1.0$5.0$20.0$100.0$500.0

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
$10.00 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $6.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.31 / $8.71
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $10.96 / $18.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.01 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.17 / $8.91
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $93.33