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Nebraska rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.89 / $937.89 / $5,452.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,609.82 / $6,247.48 / $11,728.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.51 / $1,543.50 / $2,058.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.00 / $2,345.01 / $3,100.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.71 / $1,781.99 / $6,817.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.74 / $2,370.17 / $7,648.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.85 / $2,299.12 / $3,100.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.65 / $2,299.12 / $3,100.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,322.70 / $2,661.80
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
$1,362.03 / $2,267.19 / $2,764.29