go back

Nebraska rates for HCPCS A4321

Therapeutic agent for urinary catheter irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.04 / $2.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31