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Nebraska rates for HCPCS 50120

Pyelotomy W/Exploration

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
$870.65 / $870.65 / $4,995.04
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
$844.27 / $1,439.10 / $1,918.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.38 / $2,186.42 / $2,908.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.72 / $1,581.18 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.55 / $2,202.73 / $7,127.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.00 / $2,078.92 / $2,908.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.80 / $2,072.77 / $2,891.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,533.50 / $2,349.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.55 / $2,093.04 / $2,598.69