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Nebraska rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.80 / $726.80 / $4,174.72
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
$699.20 / $1,191.82 / $1,589.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.08 / $1,810.74 / $2,377.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.13 / $1,380.92 / $15,412.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.10 / $1,818.06 / $6,544.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.08 / $1,913.35 / $8,854.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.00 / $1,734.35 / $2,377.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,189.40 / $1,996.50
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
$1,057.53 / $1,760.34 / $2,183.19