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Nebraska rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

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
$773.25 / $773.25 / $4,491.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.40 / $1,287.63 / $1,716.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.00 / $1,894.83 / $2,481.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.25 / $1,367.63 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.39 / $1,692.52 / $2,333.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.13 / $1,906.48 / $2,497.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,750.48 / $2,481.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.39 / $1,763.20 / $2,204.21