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Nebraska rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $2.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.77 / $1.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.00 / $3.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.83 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.91 / $1.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.35 / $3.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.91 / $1.40