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Nebraska rates for HCPCS 0164T

Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.19 / $796.51 / $796.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,766.83 / $15,476.59 / $29,936.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.04 / $2,833.02 / $3,777.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.16 / $1,294.03 / $1,978.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.51 / $1,354.07 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.66 / $859.72 / $2,259.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.71 / $1,486.61 / $1,893.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.71 / $1,249.49 / $1,893.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.66 / $978.75 / $2,015.17