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Nebraska rates for HCPCS 0677T

Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first repositioned lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.03 / $6,048.00 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.00 / $1,556.10 / $11,100.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,906.94 / $7,769.24 / $15,028.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,163.00 / $9,696.00 / $17,344.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,308.27 / $11,169.92 / $14,582.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,756.00 / $8,163.00 / $9,496.00