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Nebraska rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Facilitymedian $37 · 10th–90th $14–$1660%10%10th90th$37Professionalmedian $26 · 10th–90th $10–$910%10%10th90th$26$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $30.20 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $35.48 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $42.66 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $37.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $100.00
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $91.20 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $28.84