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Nebraska rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,100.08 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,605.99 / $31,992.18 / $60,057.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.54 / $942.99 / $16,787.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.38 / $1,259.08 / $1,767.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00