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Nebraska rates for HCPCS 58571

Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,774.45 / $9,632.94 / $20,221.79
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,790.50 / $3,790.50 / $3,790.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.79 / $6,596.00 / $14,582.60
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,736.48 / $2,632.21 / $2,632.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.62 / $2,240.48 / $8,854.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00