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Nebraska rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.37 / $3,795.64 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$361.50 / $361.50 / $361.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.35 / $145.00 / $348.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$62.19 / $402.86 / $829.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.55 / $947.72 / $1,833.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.64 / $194.28 / $260.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.88 / $118.88 / $118.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.04 / $293.52 / $379.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.93 / $210.19 / $468.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.93 / $271.82 / $1,415.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.36 / $265.79 / $379.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.27 / $300.87 / $362.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.93 / $274.81 / $346.61