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Nebraska rates for HCPCS 99450

Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with "chain of custody" protocols; and Completion of necessary documentation/certificates.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $128.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $33.00 / $40.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.64 / $515.64 / $515.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.21 / $252.33 / $252.33