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Nebraska rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.48 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.74 / $181.48 / $662.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.60 / $6,541.64 / $12,653.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.55 / $236.28 / $371.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.91 / $716.91 / $716.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.75 / $380.94 / $557.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.82 / $284.95 / $885.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.04 / $367.30 / $2,314.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.77 / $424.51 / $953.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.91 / $356.04 / $522.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.23 / $227.14 / $948.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.26 / $1,512.82 / $6,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.04 / $367.30 / $468.76