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Nebraska rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.66 / $121.66 / $123.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $121.66 / $813.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.83 / $2,506.98 / $4,706.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.74 / $238.08 / $251.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.54 / $702.54 / $702.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $286.25 / $434.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.66 / $318.41 / $1,245.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.13 / $273.26 / $3,555.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.21 / $297.24 / $872.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.21 / $301.33 / $652.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.13 / $258.58 / $422.28