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Nebraska rates for HCPCS A4354

Insertion tray with drainage bag but without catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.66 / $13.66 / $13.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $13.66 / $13.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.94 / $16.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $23.74 / $41.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.05 / $22.54 / $29.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $8.23 / $17.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.09 / $21.20 / $34.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $21.05 / $35.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $20.30 / $32.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.23 / $12.91