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Nebraska rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,888.44 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $346.74 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,897.79 / $8,128.31