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Nebraska rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.69 / $3.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.68 / $8.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.66 / $13.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.97 / $28.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.84 / $8.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $5.85 / $8.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.97 / $3.25