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Nebraska rates for HCPCS 54130

Amputation Penis Radw/Bi Inguinofemoral Lmphade

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.70 / $1,093.70 / $6,276.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,242.16 / $13,880.76 / $26,057.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.00 / $1,806.81 / $2,409.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.94 / $2,745.09 / $3,653.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.25 / $1,994.03 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.99 / $2,767.06 / $10,316.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.00 / $2,601.14 / $3,653.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.00 / $2,601.14 / $3,635.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,995.40 / $2,950.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.77 / $2,668.73 / $2,825.03