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Nebraska rates for HCPCS 58752

Tubouterine Implantation

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
$832.71 / $832.71 / $4,746.89
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
$801.25 / $1,365.76 / $1,821.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.71 / $2,074.98 / $2,689.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.53 / $1,582.15 / $7,434.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.18 / $2,056.04 / $6,731.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.00 / $2,051.54 / $2,822.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.00 / $1,986.17 / $2,689.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,300.90 / $2,296.69
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
$1,132.18 / $1,904.12 / $2,150.89