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Nebraska rates for HCPCS 86965

Pooling of platelets or other blood products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.19 / $19.19 / $20.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $19.19 / $28.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.63 / $215.22 / $416.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $44.61 / $48.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $44.39 / $72.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $29.74 / $39.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $18.50 / $206.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.56 / $54.91 / $76.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $47.51 / $76.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $18.50 / $32.54