go back

Washington rates for HCPCS A4355

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

Facilitymedian $13 · 10th–90th $9$240%10%10th90th$13Professionalmedian $8 · 10th–90th $4$170%10%10th90th$8$0.1$0.5$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $7.08 / $14.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.13 / $5.89
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.55 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $12.30 / $12.59
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $13.80
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $19.95
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $12.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.72 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $5.13 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.03 / $10.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $10.72 / $19.05