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Nebraska rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $3.40 / $3.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.40 / $3.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.97 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.91 / $10.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $5.75 / $7.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.04 / $4.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $5.28 / $8.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.34 / $8.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.09 / $8.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $2.04 / $3.21