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Nebraska rates for HCPCS C1815

Prosthesis, urinary sphincter (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $18,911.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $2,398.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.06 / $2,164.52 / $3,798.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.00 / $2,398.00 / $4,556.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.46 / $2,453.46 / $7,342.05