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Nebraska rates for HCPCS 90997

Hemoperfusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $89.35 / $123.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.75 / $2,120.75 / $2,120.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.15 / $135.65 / $188.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.31 / $187.33 / $348.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.84 / $141.37 / $273.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $172.98 / $931.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $202.20 / $230.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.68 / $181.24 / $224.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $110.80 / $228.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.39 / $169.65 / $214.69