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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
$19.32 / $35.53 / $47.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $39.63 / $40.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $64.05 / $106.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.98 / $58.62 / $145.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $28.37 / $344.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.50 / $64.05 / $110.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $75.09 / $110.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $25.98 / $41.16