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Nebraska rates for HCPCS A7041

Water seal drainage container and tubing for use with implanted chest tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.52 / $87.52 / $87.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.52 / $87.52 / $116.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.90 / $102.19 / $103.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.27 / $116.27 / $116.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $123.00 / $179.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.21 / $106.21 / $456.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $52.73 / $87.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.92 / $116.27 / $146.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $137.41 / $239.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $52.73 / $74.95