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Nebraska rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.66 / $1,357.66 / $1,357.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.66 / $1,357.66 / $1,357.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.99 / $1,585.08 / $1,601.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $1,803.48 / $1,803.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $1,754.34 / $2,387.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.31 / $1,639.53 / $7,674.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $76.95 / $212.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.24 / $1,803.48 / $2,161.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.01 / $1,798.20 / $2,825.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.09 / $76.95 / $228.80