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Nebraska rates for HCPCS A4680

Activated carbon filter for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $63.10 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $54.95 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.84 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $72.44 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.70 / $44.67