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Nebraska rates for HCPCS 76805

Us Preg Uterus After 1st Trimest 1/1st Gestation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.67 / $146.94 / $416.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.84 / $280.00 / $583.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.08 / $107.06 / $205.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.17 / $99.56 / $206.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.85 / $249.87 / $294.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.97 / $90.44 / $106.46
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.52 / $159.43 / $159.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $251.50 / $257.79
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.70 / $89.29 / $91.53
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$150.19 / $162.18 / $166.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$263.52 / $263.52 / $263.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.51 / $291.37 / $392.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.54 / $104.17 / $134.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.61 / $187.20 / $257.92
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.45 / $213.45 / $213.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.60 / $247.67 / $394.69
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.04 / $91.16 / $139.21
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.71 / $162.03 / $574.48
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.76 / $158.24 / $263.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.00 / $286.07 / $362.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.12 / $120.74 / $246.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.75 / $253.32 / $319.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.04 / $91.98 / $117.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.71 / $160.11 / $201.99