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Tennessee 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
$6.44 / $6.44 / $7.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.68 / $10.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $11.21 / $11.21
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.29 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $61.68 / $93.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $5.79 / $7.96