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Nebraska rates for HCPCS 54415

Rmvl Non-Nfltbl/Nfltbl Penile Prosth W/O Rplcmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,578.27 / $7,559.99 / $14,192.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.95 / $930.47 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.50 / $1,244.29 / $3,145.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00