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Ohio rates for HCPCS A4355

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

Facilitymedian $7 · 10th–90th $5–$130%20%10th90th$7Professionalmedian $7 · 10th–90th $5–$110%10%20%10th90th$7$0.1$0.5$2.0$10.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.61 / $16.60
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $10.47 / $14.79
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.22 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $5.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $5.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4.47
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.01 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.89 / $8.32