go back

Nebraska rates for HCPCS 15241

Fth/Gt Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $159.72 / $570.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.87 / $4,387.57 / $8,486.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.09 / $193.68 / $320.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.36 / $319.39 / $523.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.40 / $248.20 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.76 / $376.62 / $1,925.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.18 / $324.75 / $539.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.06 / $321.08 / $465.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.76 / $381.71 / $412.08