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Nebraska rates for HCPCS A4313

Insertion Tray Without Drainage Bag With Indwelling Catheter Foley Type Three-Way For Continuous Irrigation (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $21.43 / $21.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $21.43 / $28.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $25.02 / $25.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $28.47 / $28.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $28.47 / $43.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $28.38 / $117.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.91 / $21.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.47 / $35.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.32 / $33.25 / $56.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $11.78 / $16.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $12.91 / $16.92