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Nebraska rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.50 / $4,182.08 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.30 / $3,958.05 / $7,656.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.40 / $1,387.40 / $1,387.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.83 / $926.18 / $3,253.20
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$143.22 / $497.27 / $497.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,373.80 / $1,757.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00