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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
$13.44 / $20.37 / $41.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $130.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.08 / $113.62 / $221.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $30.96 / $33.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $29.43 / $46.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.97 / $13.44 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $12.22 / $20.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $26.28 / $41.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $24.46 / $51.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $12.22 / $20.37