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Irrigation Tubing Set for Continuous Bladder Irrigation

Wisconsin 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 $13 · 10th–90th $10$230%20%40%10th90th$13Professionalmedian $12 · 10th–90th $5$240%10%10th90th$12$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
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.24
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$39.81
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$15.14
Typical High
$23.99
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.72
Typical High
$18.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$12.59
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.17
Typical High
$14.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Network Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$25.12
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.72
Typical High
$18.20
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$12.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$19.05
Typical High
$32.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$25.70
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.89
Typical High
$63.10
Security Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Security Health
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.17
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.17
Typical High
$11.48