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Nebraska rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Facilitymedian $1,738 · 10th–90th $661–$3,8020%10%20%10th90th$1,738Professionalmedian $661 · 10th–90th $661–$6610%50%$661$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$660.69 / $660.69 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $660.69 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $83.18