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Nebraska rates for HCPCS A4690

Dialyzer (Artificial Kidneys) All Types All Sizes For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.57 / $352.07 / $466.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.11 / $392.75 / $396.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.63 / $634.64 / $1,060.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.86 / $580.91 / $1,440.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.64 / $281.14 / $3,418.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.21 / $634.64 / $1,094.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.79 / $744.03 / $1,091.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.10 / $595.10 / $595.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.64 / $257.45 / $407.07