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Oklahoma rates for HCPCS A4355

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

Facilitymedian $6 · 10th–90th $5$190%20%40%10th90th$6Professionalmedian $6 · 10th–90th $4$100%10%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $8.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.62 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.13 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $5.01 / $7.59