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Nebraska rates for HCPCS 0695T

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.21 / $139.21 / $139.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.21 / $139.21 / $139.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.72 / $174.58 / $337.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $233.46 / $314.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.16 / $364.31 / $809.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.21 / $236.66 / $714.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.91 / $318.44 / $423.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.75 / $293.16 / $809.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $293.16 / $809.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.67 / $347.38 / $365.65