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Nebraska rates for HCPCS 0574T

Repos Prev Impl Ss Impltbl Dfb Pacing Eltrd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.06 / $377.06 / $377.06
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
$371.38 / $633.04 / $844.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.38 / $753.28 / $1,003.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.06 / $659.86 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.27 / $835.10 / $1,112.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.38 / $713.25 / $936.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.38 / $711.03 / $1,003.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,530.30 / $5,387.38 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.27 / $837.23 / $1,088.10