go back

Virginia 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
$7.70 / $7.70 / $8.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $7.70 / $8.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.35 / $5.35 / $7.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.09 / $8.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $6.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $12.46 / $14.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $8.28 / $14.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $16.37 / $20.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.22 / $9.75 / $17.04
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $9.75 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $6.22 / $9.36