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Nebraska rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

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
$841.67 / $841.67 / $4,797.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,992.68 / $9,476.87 / $17,790.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.13 / $1,380.91 / $1,841.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.23 / $2,098.00 / $2,718.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.57 / $1,472.92 / $7,516.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.86 / $2,078.40 / $6,805.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.00 / $2,031.62 / $2,852.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.12 / $2,007.99 / $2,718.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,246.09 / $2,321.80
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
$1,213.20 / $2,019.45 / $2,479.50