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Nebraska rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.55 / $150.94 / $376.69
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
$69.51 / $145.09 / $306.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.72 / $279.66 / $464.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.58 / $226.41 / $360.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.63 / $292.79 / $1,206.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.79 / $231.04 / $375.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.78 / $218.98 / $375.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $235.20 / $440.40
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
$177.63 / $292.79 / $389.88