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Nebraska rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,915.56 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,193.47 / $8,978.79 / $15,757.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.20 / $852.04 / $1,597.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.90 / $1,334.36 / $5,251.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00