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Nebraska rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.91 / $2,550.91 / $4,752.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,219.04 / $16,264.47 / $28,543.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,461.90 / $4,196.43 / $5,595.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,525.08 / $6,190.73 / $9,005.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.91 / $4,317.00 / $6,292.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,753.93 / $5,862.02 / $20,891.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,592.00 / $6,247.89 / $8,918.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,203.00 / $6,105.39 / $7,985.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $4,062.30 / $7,546.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,712.97 / $5,653.67 / $6,589.00