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Nebraska rates for HCPCS 20500

Injection Sinus Tract Therapeutic Separate Proc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.16 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.36 / $115.16 / $460.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,551.47 / $4,671.14 / $9,035.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.93 / $161.40 / $235.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.02 / $114.02 / $114.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.33 / $241.34 / $315.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.71 / $190.01 / $447.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.22 / $230.53 / $669.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.38 / $228.70 / $315.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.32 / $231.69 / $315.13
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
$140.22 / $239.45 / $297.45