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Nebraska rates for HCPCS 0416T

Relocation of skin pocket for implanted cardiac contractility modulation pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.48 / $317.48 / $317.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.17 / $1,724.55 / $3,335.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.69 / $650.60 / $867.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.12 / $702.59 / $787.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.48 / $555.59 / $5,564.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.78 / $820.05 / $1,218.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.12 / $787.87 / $1,962.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.12 / $633.99 / $729.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.78 / $844.76 / $1,135.51