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Nebraska rates for HCPCS 77077

Joint Survey Single View 2 Or More Joints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.75 / $79.93 / $134.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.93 / $43.94 / $213.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.08 / $15.70 / $38.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.24 / $28.25 / $56.30
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $28.84 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $86.68 / $88.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.93 / $30.92 / $31.69
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.06 / $55.75 / $57.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.26 / $91.26 / $91.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.96 / $98.91 / $134.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.19 / $36.03 / $46.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.13 / $63.93 / $88.24
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $80.00 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $83.31 / $301.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.04 / $31.88 / $104.20
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.22 / $50.74 / $196.89
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.26 / $378.00 / $389.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.38 / $88.88 / $117.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $82.32 / $104.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.04 / $31.88 / $40.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.88 / $46.06 / $63.82