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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
$645.65 / $6,309.57 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $851.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $9,120.11 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $831.76 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $758.58 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $2,818.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $831.76 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $660.69 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,128.31 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $912.01