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Nebraska rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

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
$600.30 / $726.54 / $3,488.89
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
$633.77 / $1,079.06 / $1,453.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.82 / $1,721.23 / $2,312.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.54 / $1,380.43 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.10 / $1,666.93 / $5,828.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.00 / $1,715.20 / $2,099.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.00 / $1,603.32 / $2,099.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.10 / $1,666.93 / $1,876.65