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Vermont 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
$5.57 / $7.16 / $7.16
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 / $6.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $7.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $6.70 / $12.24