go back

Nebraska rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $115.23 / $515.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.81 / $3,040.94 / $5,708.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $167.25 / $236.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.05 / $282.02 / $361.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.78 / $195.89 / $438.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.83 / $288.60 / $933.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.25 / $240.94 / $332.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.52 / $255.82 / $332.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.90 / $212.50 / $317.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.76 / $413.28 / $4,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.71 / $274.17 / $332.52