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Nebraska rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.77 / $263.77 / $1,517.80
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
$255.25 / $435.11 / $580.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.95 / $661.07 / $880.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.08 / $501.16 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $667.34 / $2,135.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.95 / $709.68 / $3,145.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.85 / $625.91 / $874.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $492.10 / $706.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.78 / $647.66 / $797.55