go back

Nebraska rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

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
$674.81 / $809.40 / $3,959.90
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
$717.73 / $1,214.24 / $1,635.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.91 / $1,889.37 / $2,594.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.57 / $1,537.86 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.95 / $1,872.81 / $6,576.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.00 / $1,820.22 / $2,358.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.00 / $1,809.16 / $2,352.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $3,167.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.95 / $1,898.12 / $2,049.13