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North Dakota 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
$7.71 / $7.71 / $7.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $7.95 / $7.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $11.71 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $14.77 / $18.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.06 / $7.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $5.87 / $8.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $6.17 / $12.57