go back

Nebraska rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.68 / $1.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $22.50 / $28.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00