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Nebraska rates for HCPCS A4311

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.86 / $14.86 / $14.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $14.86 / $14.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.77 / $17.34 / $17.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $19.36 / $19.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $19.73 / $30.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $19.68 / $92.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $8.94 / $14.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $19.73 / $24.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $23.65 / $39.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $8.94 / $14.05