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Nebraska rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.49 / $2,623.49 / $2,623.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,623.49 / $2,623.49 / $2,623.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.86 / $2,873.09 / $3,024.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $3,142.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.00 / $2,409.57 / $4,514.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.50 / $2,754.66 / $17,045.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.30 / $1,200.99 / $2,233.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.63 / $359.33 / $677.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.33 / $443.27 / $849.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.51 / $1,139.27 / $2,181.42