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Nebraska rates for HCPCS A5105

Urinary Suspensory; With Or Without Leg Bag With Or Without Tube Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.10 / $40.10 / $40.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.10 / $40.10 / $53.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $46.82 / $47.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.26 / $53.26 / $62.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $66.00 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.53 / $56.97 / $257.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $24.16 / $40.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.12 / $62.67 / $74.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $65.93 / $121.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $24.16 / $37.89