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Nebraska rates for HCPCS 52317

Litholapaxy Smpl/Sm <2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.33 / $804.35 / $1,737.03
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
$333.67 / $758.33 / $1,663.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.83 / $1,638.89 / $2,444.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.01 / $1,401.80 / $4,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.58 / $2,019.80 / $7,358.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.83 / $1,843.17 / $3,145.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.83 / $1,581.55 / $2,386.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,351.70 / $2,428.50
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
$1,235.09 / $1,919.35 / $2,129.92