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Nebraska rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.55 / $23.55 / $53.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.55 / $53.87 / $139.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.94 / $2,180.53 / $4,093.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.76 / $51.39 / $108.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.32 / $107.12 / $162.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $80.81 / $135.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $121.67 / $428.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.31 / $107.12 / $144.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $90.52 / $144.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $66.20 / $159.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $116.78 / $136.29