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Nebraska rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.84 / $1,249.84 / $7,311.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.09 / $2,036.80 / $2,718.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.00 / $3,057.97 / $4,127.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.84 / $2,187.23 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.30 / $2,818.65 / $3,862.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.49 / $3,064.87 / $4,173.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.11 / $2,812.42 / $4,127.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.30 / $2,910.42 / $3,670.80