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Nebraska rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,585.78 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,862.09 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,698.24 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $1,230.27 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $2,041.74