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Nebraska rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.92 / $237.47 / $1,116.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.71 / $1,711.30 / $3,212.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.08 / $351.13 / $483.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.43 / $579.46 / $718.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.47 / $378.68 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.89 / $538.47 / $3,100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.54 / $504.07 / $718.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.57 / $554.38 / $692.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $383.20 / $661.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.98 / $557.71 / $613.39