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Nebraska rates for HCPCS 57120

Colpocleisis Le Fort Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.50 / $10,506.16 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.69 / $930.68 / $8,632.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,196.53 / $1,196.53 / $1,196.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.12 / $1,313.45 / $4,164.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00