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Washington 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
$7.06 / $16.03 / $16.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.06 / $16.73
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $10.72 / $61.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $6.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.08 / $8.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $13.20 / $23.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $14.25 / $23.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $9.55 / $10.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.89 / $11.19 / $12.46
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $11.84 / $12.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $10.91 / $20.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $11.80 / $17.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $10.59 / $13.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.29 / $10.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $5.35