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Nebraska rates for HCPCS A5112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.71 / $36.71 / $36.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.71 / $36.71 / $36.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.96 / $42.85 / $43.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $48.76 / $53.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.06 / $53.22 / $75.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.20 / $48.38 / $218.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $22.12 / $36.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.62 / $53.22 / $62.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $58.78 / $105.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $22.12 / $31.60