go back

New York 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
$5.42 / $6.08 / $11.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.08 / $11.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $17.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.65 / $10.38 / $10.38
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.38 / $10.38
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 / $5.08 / $6.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $28.04 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $10.47 / $22.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.65 / $10.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $14.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $6.22 / $11.21
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.20 / $8.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.65