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Nebraska rates for HCPCS 58575

Laps Tot Hysterectomy Resj Malignancy W/Omntc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.85 / $8,477.27 / $20,928.72
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
$1,764.85 / $3,088.49 / $10,108.50
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$881.80 / $881.80 / $881.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,554.41 / $4,313.22 / $5,982.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00