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Nebraska rates for HCPCS A4355

Irrigation tubing set for continuous bladder irrigation through a three-way indwelling Foley catheter, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $10.21 / $10.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $10.21 / $13.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $11.91 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $13.55 / $13.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $13.55 / $20.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $12.46 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $6.15 / $10.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.51 / $13.55 / $17.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $15.84 / $27.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $6.15 / $8.13