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Nebraska rates for HCPCS 92920

Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.75 / $9,592.09 / $24,068.03
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$229.03 / $229.03 / $229.03
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$91.61 / $91.61 / $91.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,547.24 / $20,448.87 / $39,554.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.01 / $1,128.61 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$25,403.20 / $25,403.20 / $25,403.20
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$6,350.80 / $6,350.80 / $6,350.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.60 / $1,216.97 / $6,893.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00