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Nebraska rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.86 / $115.73 / $195.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $76.70 / $528.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.84 / $150.53 / $158.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$124.74 / $124.74 / $124.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $175.00 / $236.59
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.96 / $102.96 / $102.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.19 / $162.63 / $758.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.70 / $74.81 / $124.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $184.94 / $237.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $162.63 / $208.36