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Nebraska rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

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
$3,385.24 / $3,385.24 / $20,136.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,383.91 / $11,362.35 / $21,330.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,278.26 / $5,587.94 / $7,450.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,831.56 / $8,489.70 / $11,239.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,678.00 / $5,754.91 / $8,256.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,565.96 / $8,564.66 / $28,223.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,801.00 / $8,628.56 / $11,239.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,764.79 / $8,592.08 / $11,239.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $5,133.89 / $9,983.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,917.18 / $8,185.02 / $10,359.08