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Nebraska rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,093.16 / $10,968.31 / $20,590.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.06 / $1,733.94 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.00 / $2,250.71 / $3,085.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00