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Irrigation Supply, Sleeve, Disposable

Virginia rates for HCPCS A4437

Irrigation supply; sleeve, disposable, per month

Rates data updated July 2026.

How much does Irrigation Supply, Sleeve, Disposable cost?

$6.76

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $3.55 from a physician practice, and about $19.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.55$3.47 to $14.45
FacilityA hospital or hospital-owned outpatient department$19.95$4.17 to $25.12

How much rates vary

Facilitymedian $20 · 10th to 90th $4 to $32Professionalmedian $4 · 10th to 90th $3 to $23
$5$10$20$50facility $20professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.55
Typical High
$3.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$27.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$43.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.17
Typical High
$25.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$21.88
Typical High
$38.02
Sentara
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$21.88
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$23.44

Where Virginia sits

The same service costs 7.9 times more in Minnesota than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 17th of 51

$6.76

MN $26.92IN $3.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.