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Nebraska rates for HCPCS 53454

Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $31.10 / $31.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.81 / $3,040.94 / $5,708.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.84 / $76.89 / $104.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $86.68 / $145.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.10 / $54.43 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $46.37 / $333.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $145.88 / $269.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.75 / $86.68 / $145.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $45.75 / $61.02