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Nebraska rates for HCPCS 57296

Revision (including removal) of prosthetic vaginal graft; open abdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $5,128.61
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
$851.14 / $1,412.54 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,659.59 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,187.76 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $1,862.09 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $2,344.23