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Nebraska rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,100.08 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.64 / $355.64 / $355.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,392.42 / $45,235.44 / $87,499.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.14 / $1,546.28 / $2,061.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.07 / $1,060.46 / $1,949.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.64 / $622.37 / $44,635.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.62 / $1,867.66 / $2,698.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.07 / $1,887.26 / $37,746.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.07 / $1,254.40 / $1,902.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.00 / $14,989.00 / $44,635.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.98 / $2,071.23 / $2,313.10