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Nebraska rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.12 / $407.15 / $1,502.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,896.29 / $5,280.48 / $9,912.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.74 / $528.82 / $828.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.54 / $872.54 / $1,197.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $661.45 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.60 / $965.94 / $3,263.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.54 / $872.54 / $2,979.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.61 / $769.21 / $1,153.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $203.60 / $1,153.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.29 / $917.66 / $1,051.67