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Nebraska rates for HCPCS 54699

Unlisted Laparoscopy Procedure Testis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,917.20 / $9,248.33 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.00 / $1,556.10 / $11,100.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,998.88 / $6,774.77 / $12,717.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,632.00 / $9,719.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00