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Nebraska rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $338.84 / $467.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $323.59 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $354.81 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $354.81 / $724.44