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Nebraska rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $7.67 / $7.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $7.67 / $22.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $8.96 / $9.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $8.67 / $10.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $10.13 / $15.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $9.27 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.62 / $8.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.67 / $10.16 / $12.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $10.55 / $19.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $4.59 / $6.74