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Nebraska rates for HCPCS 86162

Complement; total hemolytic (CH50)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $61.66 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.05 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $40.74 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.90 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.90 / $48.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $30.90 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.30 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $41.69 / $52.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $18.20 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.30 / $22.39