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Nebraska rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $2.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.21 / $2.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $11.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.77 / $11.77 / $11.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $11.77