go back

Nebraska rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.82 / $95.30 / $272.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.63 / $155.79 / $380.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.16 / $67.15 / $129.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.81 / $62.21 / $286.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.28 / $145.46 / $150.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.09 / $56.88 / $69.30
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.81 / $115.81 / $115.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $150.30 / $154.06
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.64 / $57.92 / $59.64
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.54 / $92.37 / $94.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$170.94 / $170.94 / $170.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.11 / $174.89 / $235.62
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.31 / $67.73 / $88.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.08 / $107.14 / $147.38
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.28 / $139.28 / $139.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $152.87 / $244.35
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.96 / $59.69 / $91.09
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.80 / $92.31 / $329.23
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.74 / $100.58 / $170.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $174.89 / $217.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $75.48 / $148.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.76 / $152.88 / $197.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.96 / $60.95 / $76.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.80 / $93.39 / $118.35