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Nebraska rates for HCPCS A4222

Infusion Supplies For External Drug Infusion Pump Per Cassette Or Bag (List

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.27 / $42.27 / $42.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $42.27 / $42.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.07 / $46.39 / $46.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.50 / $75.09 / $136.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.27 / $71.86 / $112.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $25.28 / $53.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.89 / $70.16 / $113.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.51 / $71.98 / $118.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $81.00 / $102.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $25.28 / $42.13