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Nebraska rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $95 · 10th–90th $26$1290%10%20%10th90th$95Professionalmedian $54 · 10th–90th $11$1170%10%10th90th$54$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $97.72 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $26.30 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $57.54 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $69.18 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $16.22 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.98 / $17.38
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $47.86 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.89 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $54.95 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $85.11 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $72.44 / $363.08
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $20.42 / $26.92
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $30.20 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $102.33
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $20.89 / $27.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $54.95 / $75.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $95.50 / $102.33
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $25.12 / $27.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $69.18 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $11.22 / $27.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.70 / $28.84 / $85.11