go back

Nebraska rates for HCPCS A4223

Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $151.36 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $67.61 / $85.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $30.20 / $39.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $70.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,348.96