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Nebraska rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $3.15 / $115.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $3.00 / $3.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.66 / $3.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $5.25 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $5.99 / $27.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.90 / $4.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $5.01 / $7.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.01 / $9.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.60 / $8.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.90 / $2.98