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Nebraska rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.82 / $3,398.27 / $12,765.09
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$283.89 / $283.89 / $1,386.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.63 / $3,041.74 / $5,883.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.44 / $1,257.44 / $1,257.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.53 / $662.43 / $3,044.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$749.74 / $3,154.80 / $3,154.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.00 / $1,020.65 / $1,597.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.24 / $2,719.50 / $7,772.00