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Nebraska rates for HCPCS 44640

Closure Intestinal Cutaneous Fistula

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
$9,584.12 / $13,894.28 / $24,383.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.20 / $2,092.56 / $3,076.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,249.00 / $3,044.36 / $4,230.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00