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Nebraska rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.33 / $828.33 / $4,754.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.90 / $1,368.59 / $1,824.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,673.17 / $2,079.28 / $2,765.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.64 / $1,510.06 / $7,355.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.54 / $2,095.67 / $6,713.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.00 / $1,970.15 / $2,765.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.48 / $1,970.15 / $2,749.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,501.30 / $2,233.50
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
$1,213.90 / $2,020.62 / $2,476.07