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Nebraska rates for HCPCS 12002

Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.05 / $345.97 / $8,477.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $136.84 / $407.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $86.53 / $170.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.14 / $781.45 / $1,511.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.77 / $107.92 / $209.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.58 / $181.47 / $324.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.37 / $228.66 / $538.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.01 / $230.07 / $923.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.09 / $210.06 / $311.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.09 / $212.77 / $304.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.01 / $220.74 / $264.06