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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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.14 / $879.14 / $4,961.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.75 / $1,441.63 / $1,922.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.47 / $2,190.26 / $2,841.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.21 / $1,538.50 / $7,845.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.64 / $2,022.68 / $8,328.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.00 / $2,097.52 / $2,977.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.00 / $2,097.52 / $2,841.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,685.40 / $2,421.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.56 / $2,094.96 / $2,592.16