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Wisconsin rates for HCPCS A4355

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

Facilitymedian $13 · 10th–90th $11$230%20%40%10th90th$13Professionalmedian $9 · 10th–90th $5$190%10%20%10th90th$9$5.0$10.0$20.0$50.0$100.0

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 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $20.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $15.14 / $23.99
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.72 / $18.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $22.39
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.17 / $14.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $25.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.05 / $33.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $25.12 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.89 / $61.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.89 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.17 / $10.23