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Nebraska rates for HCPCS A4312

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way, all silicone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $20.87 / $20.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.87 / $20.87 / $21.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $24.35 / $24.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $27.72 / $27.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $27.72 / $42.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $25.20 / $113.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $12.58 / $20.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.72 / $34.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.70 / $32.39 / $54.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $12.47 / $16.46