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Nebraska rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,619.76 / $8,706.79 / $16,841.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.40 / $219.04 / $1,242.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.54 / $60.40 / $60.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.61 / $295.22 / $416.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00