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Nebraska rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.57 / $32.57 / $32.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $32.57 / $43.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $38.03 / $38.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.37 / $43.26 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $43.65 / $66.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.88 / $39.68 / $178.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $19.62 / $32.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.14 / $43.65 / $54.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $50.99 / $86.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $19.45 / $30.78