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Nebraska rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.87 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.96 / $90.74 / $242.73
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$20.98 / $34.44 / $121.36
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$8.39 / $13.77 / $48.55
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
$44.10 / $85.20 / $139.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.50 / $139.74 / $210.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.50 / $117.08 / $297.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.82 / $157.63 / $552.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.34 / $137.75 / $183.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $139.50 / $194.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $99.10 / $194.60
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
$84.82 / $149.75 / $177.89