go back

Oklahoma 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
$6.30 / $6.30 / $7.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $6.21 / $6.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $6.81 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.97 / $10.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $5.05 / $7.57