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Nebraska rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $28.84 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.90 / $44.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $42.66 / $46.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $46.77