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Nebraska rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.50 / $4.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.16 / $10.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $6.06 / $17.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.56 / $33.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $6.32 / $10.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $7.39 / $10.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.56 / $4.22