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Nebraska rates for HCPCS 85175

Clot lysis time, whole blood dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $40.74 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $97.72 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.90 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $38.90 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $12.30 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $12.30 / $20.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $41.69 / $52.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $18.20 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $12.30 / $20.42