go back

Nebraska rates for HCPCS 49501

Rpr 1st Ingun Hrna Age 6 Mo-5 Yrs Incarcerated

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
$540.33 / $563.91 / $1,003.17
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
$522.19 / $890.09 / $1,186.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.33 / $1,323.69 / $1,895.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.33 / $918.56 / $1,457.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.65 / $1,251.80 / $4,724.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.29 / $1,361.62 / $3,137.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.14 / $1,345.70 / $1,772.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $789.00 / $1,574.60
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
$825.37 / $1,298.59 / $1,559.88