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Nebraska rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

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
$1,697.68 / $1,697.68 / $11,197.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,303.68 / $6,975.78 / $13,493.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.68 / $2,685.55 / $3,692.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.44 / $1,257.44 / $1,257.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.02 / $4,052.10 / $5,746.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.68 / $2,867.62 / $4,474.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.76 / $3,696.81 / $5,839.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.40 / $3,155.68 / $4,930.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.70 / $3,694.30 / $5,746.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.90 / $3,070.28 / $3,966.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.76 / $4,081.22 / $5,308.24