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Nebraska rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.74 / $13,540.02 / $25,418.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.27 / $1,525.23 / $10,946.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.66 / $2,157.48 / $6,152.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00