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Irrigation Tubing Set for Continuous Bladder Irrigation

Vermont rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$60%50%10th90th$6Professionalmedian $7 · 10th–90th $5$120%20%40%10th90th$7$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.08
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.13
Typical High
$5.89
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.17
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$7.08
Typical High
$21.38