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Nebraska rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.50 / $233.50 / $1,315.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,779.83 / $7,833.15 / $14,704.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.96 / $383.44 / $511.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.77 / $582.54 / $734.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.06 / $443.65 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.93 / $561.75 / $2,806.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.77 / $626.15 / $3,093.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $554.58 / $734.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $417.20 / $650.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.93 / $550.70 / $663.17