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Rhode Island 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 / $4.63 / $8.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $23.80 / $28.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $6.55 / $10.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $5.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $7.12 / $10.36