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Nebraska rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.90 / $432.90 / $2,463.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,605.99 / $31,048.33 / $60,057.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.63 / $696.52 / $928.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.36 / $1,075.79 / $1,456.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.95 / $957.64 / $5,984.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.98 / $1,091.00 / $1,748.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.67 / $1,126.28 / $1,456.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.07 / $1,126.28 / $1,456.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.00 / $4,317.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.98 / $1,075.53 / $1,341.93