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Nebraska rates for HCPCS 64483

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.38 / $2,779.91 / $8,477.27
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$708.70 / $2,492.40 / $3,611.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$20.57 / $45.88 / $2,052.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.84 / $262.63 / $590.42
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.05 / $650.47 / $769.26
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$20.57 / $45.88 / $118.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.70 / $201.40 / $743.88
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$678.32 / $1,115.82 / $1,115.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,507.81 / $1,983.18 / $3,836.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.37 / $230.09 / $467.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.25 / $480.14 / $712.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.49 / $389.95 / $2,093.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$272.14 / $514.79 / $2,071.09
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$100.82 / $100.82 / $100.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.07 / $460.26 / $1,052.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.53 / $546.42 / $955.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.35 / $446.15 / $641.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.48 / $244.67 / $948.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.77 / $501.35 / $599.70