go back

Nebraska rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

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
$6,416.80 / $8,696.41 / $16,325.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.21 / $695.12 / $4,406.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.60 / $991.26 / $1,415.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00