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Nebraska rates for HCPCS 50290

Excision of perinephric cyst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,882.50 / $25,118.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,041.74 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,089.30 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,513.56 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $2,238.72