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Nebraska rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,255.42 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.74 / $602.74 / $3,456.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,578.27 / $7,559.99 / $14,192.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.83 / $996.87 / $1,329.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.72 / $1,514.52 / $2,012.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.61 / $1,145.21 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $1,524.93 / $4,888.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.72 / $1,624.12 / $5,275.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.00 / $1,444.33 / $2,002.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,073.70 / $1,629.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,163.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.51 / $1,467.34 / $1,829.60