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Nebraska rates for HCPCS 50630

Ureterolithotomy; lower 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
$818.44 / $818.44 / $4,695.24
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
$793.30 / $1,352.24 / $1,802.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.17 / $2,054.42 / $2,732.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.20 / $1,474.16 / $7,270.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.88 / $2,070.65 / $6,633.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,528.00 / $1,946.86 / $2,732.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.26 / $1,946.86 / $2,718.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,526.60 / $2,208.30
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
$1,155.88 / $1,995.31 / $2,445.08