Tubing set for bladder irrigation

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SET CYSTO IRRIGATING CS/20

Payers reporting HCPCS A4355

Payer pricing summary

Low

Average

$27

Median

$14

High

$426

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +14 other terms	306	$13	$19	$20	108%	—	$3 – $98
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	293	$13	$12	$2	17%	—	$3 – $26
3	Aetna fee schedule · outpatient · +15 other terms	272	$13	$14	$7	50%	—	$3 – $77
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	189	$13	$15	$7	44%	—	$0 – $45
5	WellCare fee schedule · outpatient · +6 other terms	185	$13	$13	$2	17%	—	$11 – $25
6	Devoted fee schedule · outpatient · +4 other terms	163	$13	$13	$1	5%	—	$11 – $13
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$13	$13	$1	4%	—	$11 – $14
8	Molina fee schedule · outpatient · +6 other terms	96	$17	$17	$7	40%	—	$9 – $33
9	Cigna fee schedule · outpatient · +14 other terms	83	$13	$14	$4	25%	—	$3 – $32
10	Anthem fee schedule · outpatient · +7 other terms	74	$12	$13	$1	9%	—	$11 – $21
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$13	$13	$0	0%	—	$12 – $13
12	Kaiser fee schedule · outpatient · +6 other terms	39	$12	$13	$0	2%	—	$12 – $13
13	Clover fee schedule · outpatient · +2 other terms	37	$12	$13	$0	3%	—	$12 – $13
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$12	$12	$4	29%	—	$9 – $44
15	Optum fee schedule · outpatient · +3 other terms	25	$13	$15	$6	42%	—	$12 – $32
16	Oscar fee schedule · outpatient · +4 other terms	24	$12	$12	$1	5%	—	$11 – $12
17	Caresource facility · case rate · outpatient · +5 other terms	20	$16	$18	$5	26%	—	$10 – $27
18	Medicare fee schedule · outpatient · +2 other terms	18	$12	$12	$1	8%	—	$10 – $12
19	Amerihealth Caritas fee schedule · outpatient · +4 other terms	16	$13	$13	$1	5%	—	$13 – $14
20	Aetna Better Health fee schedule · outpatient · +4 other terms	13	$6	$9	$3	36%	—	$6 – $12
21	Wellmark fee schedule · both · +1 other terms	13	$11	$11	$0	3%	—	$9 – $11
22	Ambetter case rate · outpatient · +6 other terms	12	$18	$18	$1	5%	—	$17 – $20
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$11	$7	$6	80%	—	$0 – $14
24	Bcbs Nj fee schedule · outpatient	12	$12	$27	$18	68%	—	$12 – $55
25	Highmark fee schedule · outpatient · +6 other terms	11	$13	$13	$5	36%	—	$6 – $30

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