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Nebraska rates for HCPCS 57289

Pereyra procedure, including anterior colporrhaphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.11 / $730.11 / $4,105.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,198.33 / $7,045.08 / $13,225.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.80 / $1,197.97 / $1,597.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.58 / $1,820.06 / $2,301.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.42 / $1,387.21 / $10,946.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.09 / $1,759.81 / $5,898.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,820.06 / $6,152.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.01 / $1,704.52 / $2,301.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,142.70 / $2,025.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.48 / $1,589.84 / $1,885.87