go back

Nebraska rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $1.21 / $3.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $4.13 / $4.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $15.90 / $15.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.21 / $1.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.21 / $1.21