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Nebraska rates for HCPCS A4305

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

Facilitymedian $12 · 10th–90th $7–$890%10%10th90th$12Professionalmedian $6 · 10th–90th $4–$90%10%20%10th90th$6$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $8.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.76 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $14.79 / $20.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.75 / $33.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $5.13 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.13 / $21.88
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $20.89
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.13 / $8.71