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Nebraska rates for HCPCS 50075

Nephrolithotomy Rmvl Large Staghorn Calculus

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
$1,333.17 / $1,333.17 / $7,660.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.60 / $13,313.50 / $24,992.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.84 / $2,200.32 / $2,933.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.01 / $3,342.92 / $4,455.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.31 / $2,441.04 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.15 / $3,372.92 / $10,796.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,522.00 / $3,221.71 / $4,455.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.40 / $3,165.91 / $4,431.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,386.19 / $3,590.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,099.06 / $3,261.09 / $3,996.84