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Nebraska rates for HCPCS 28476

Prq Skel Fixj Metar Fx W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.46 / $4,778.89 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.07 / $671.68 / $4,803.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $953.00 / $2,961.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00