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Nebraska rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.80 / $9,302.56 / $16,325.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.25 / $1,920.26 / $2,770.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.00 / $2,831.13 / $3,757.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00