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Nebraska rates for HCPCS 0109T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.24 / $30.24 / $30.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.97 / $30.24 / $49.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.15 / $864.58 / $1,355.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $150.44 / $206.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $61.33 / $79.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.08 / $49.34 / $69.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $165.24 / $248.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.15 / $61.33 / $76.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $62.09 / $79.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $32.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $174.42 / $225.19