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Nebraska rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.72 / $1,133.72 / $6,549.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.67 / $1,859.09 / $2,478.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.86 / $2,824.52 / $3,736.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.15 / $1,984.01 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.72 / $2,856.89 / $9,166.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,148.00 / $2,824.52 / $3,840.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.94 / $2,706.68 / $3,736.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,505.10 / $3,116.20
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
$1,657.43 / $2,758.91 / $3,397.25