go back

Oregon rates for HCPCS A4355

Irrigation Tubing Set For Continuous Bladder Irrigation Through A Three-Way Indwelling Foley Catheter Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $9.13 / $35.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $5.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $5.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $22.74 / $27.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $10.92 / $12.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.86 / $13.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.89 / $11.19 / $12.87
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $11.21 / $13.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $10.62 / $12.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $10.91 / $13.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $13.71 / $13.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.29 / $10.08