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Nebraska rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,042.03 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.15 / $717.39 / $846.48
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
$329.75 / $562.09 / $749.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.20 / $853.99 / $1,092.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.25 / $650.09 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.97 / $835.06 / $2,806.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.20 / $918.31 / $5,275.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.00 / $816.59 / $1,092.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $605.00 / $946.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.84 / $812.05 / $994.19