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Nebraska rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $7.00 / $8.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $22.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.80 / $7.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.79 / $21.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $12.12 / $37.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $5.12 / $68.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.54 / $12.62 / $21.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $15.23 / $21.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $28.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $5.12 / $8.44