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Ohio 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
$7.91 / $7.91 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.91 / $10.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $16.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $12.46 / $16.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $12.46 / $26.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $7.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $5.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $7.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $5.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.97 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.85 / $8.28