go back

Nebraska rates for HCPCS 0100T

Plmt Scjncl Rta Prosth&Pls&Impltj Intra-Oc Rta

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,417.02 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.75 / $1,728.15 / $1,741.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $142.97 / $190.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.21 / $3,488.48 / $4,293.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.15 / $3,283.49 / $23,788.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,669.48 / $3,826.25 / $5,000.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,994.22 / $3,575.69 / $5,634.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.21 / $3,575.69 / $4,755.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.00 / $14,989.00 / $44,635.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,860.11 / $3,950.82 / $4,983.02