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Nebraska rates for HCPCS 58750

Tubotubal anastomosis

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
$834.88 / $834.88 / $4,760.43
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
$803.32 / $1,369.29 / $1,825.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.04 / $2,080.36 / $2,696.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.25 / $1,586.27 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.21 / $2,061.64 / $7,322.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.00 / $2,061.64 / $2,830.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.21 / $1,991.97 / $2,696.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,296.20 / $2,303.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.01 / $2,004.17 / $2,493.46