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Nebraska rates for HCPCS 69801

Labyrinthotomy Transcanal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.53 / $394.58 / $915.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $186.82 / $186.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,551.47 / $4,813.14 / $9,035.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.78 / $233.33 / $430.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $424.07 / $651.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.03 / $361.95 / $2,192.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.45 / $487.78 / $6,427.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.67 / $380.63 / $712.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $396.48 / $618.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $447.10 / $1,035.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.39 / $463.52 / $593.49