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Nebraska rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Facilitymedian $22 · 10th–90th $15–$280%20%10th90th$22Professionalmedian $15 · 10th–90th $15–$150%50%$15$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $83.18