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Nebraska rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,187.76 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $912.01