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Nebraska rates for HCPCS A4313

Insertion tray without drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $20.89 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $30.20 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $36.31 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $25.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $64.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $64.57 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.75 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.30 / $19.50