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Nebraska rates for HCPCS 57292

Construction of artificial vagina; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,182.57 / $25,703.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,862.09 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,737.80 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,318.26 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,606.93 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $2,041.74