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Nebraska rates for HCPCS 54417

Rmvl & Rplcmt Penile Prosthesis Infected Field

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.85 / $825.85 / $4,733.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,366.51 / $31,667.62 / $59,448.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.02 / $1,365.40 / $1,820.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.26 / $2,074.42 / $2,755.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.98 / $1,569.12 / $19,233.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.11 / $2,089.40 / $6,696.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.00 / $1,967.24 / $2,742.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.25 / $1,967.24 / $2,742.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $1,283.00 / $2,231.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.11 / $1,948.04 / $2,133.17