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West Virginia 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
$6.77 / $6.77 / $6.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $7.64 / $8.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $16.57 / $21.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $8.72 / $14.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $5.85 / $14.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.85 / $8.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $6.15 / $10.36