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Nebraska rates for HCPCS 49491

Rpr 1st Ingun Hrna Preterm Inft Rdc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $709.50 / $1,318.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,838.93 / $11,364.26 / $19,943.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.11 / $1,167.80 / $1,557.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.56 / $1,734.37 / $2,494.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.50 / $1,206.15 / $1,807.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.66 / $1,645.79 / $7,231.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.00 / $1,764.18 / $2,325.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.28 / $1,764.18 / $2,325.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,033.00 / $2,027.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.49 / $1,600.44 / $2,050.83