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Nebraska rates for HCPCS 58760

Fimbrioplasty

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
$754.36 / $754.36 / $4,290.82
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
$725.42 / $1,236.53 / $1,648.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.71 / $1,878.63 / $2,425.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.65 / $1,433.28 / $6,729.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.47 / $1,854.45 / $7,017.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.00 / $1,854.45 / $2,553.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.93 / $1,796.94 / $2,425.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,133.70 / $2,081.19
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
$1,084.44 / $1,805.13 / $2,208.96