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Irrigation Tubing Set for Continuous Bladder Irrigation

New Hampshire rates for HCPCS A4355

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $5$70%50%10th90th$6Professionalmedian $6 · 10th–90th $5$90%20%10th90th$6$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$6.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.13
Typical High
$5.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$4.79
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.46
Typical High
$9.33
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$14.13