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Nebraska rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.87 / $730.87 / $4,191.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,751.95 / $13,216.42 / $24,810.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.73 / $1,208.06 / $1,610.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.92 / $1,835.39 / $2,439.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.12 / $1,388.65 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.58 / $1,849.10 / $9,010.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.92 / $1,874.75 / $4,791.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.00 / $1,740.15 / $2,426.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,283.90 / $1,974.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $6,325.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.08 / $1,779.00 / $2,176.05