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Nebraska rates for HCPCS A4617

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $3.58 / $3.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $3.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.19 / $4.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $5.17 / $9.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $4.76 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.16 / $5.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.76 / $6.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $5.56 / $9.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.20 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.16 / $3.60