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Nebraska rates for HCPCS C1765

Adhesion barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $379.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.61 / $2,196.16 / $3,798.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $5.88 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.85 / $375.85 / $375.85