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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
$25.37 / $25.37 / $25.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.36 / $28.96 / $39.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $24.62 / $24.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.54 / $43.54 / $43.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $25.37 / $44.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $26.90 / $46.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $39.78 / $50.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.24 / $48.00 / $68.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $26.90 / $46.27