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Nebraska rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

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
$14,877.26 / $20,162.50 / $37,850.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.24 / $1,323.43 / $7,856.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.00 / $1,864.62 / $2,645.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00