go back

Nebraska rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.26 / $121.26 / $704.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.72 / $197.24 / $262.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.25 / $284.88 / $398.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.00 / $230.39 / $1,300.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $268.61 / $1,870.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $299.67 / $408.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $279.47 / $398.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $279.39 / $318.77