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Nebraska rates for HCPCS 12004

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.41 / $2,912.34 / $12,036.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $121.45 / $380.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.65 / $85.65 / $94.11
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
$69.45 / $131.74 / $243.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $217.99 / $365.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.85 / $233.45 / $646.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $268.79 / $1,072.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.38 / $244.11 / $365.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.51 / $249.00 / $353.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.36 / $337.66 / $4,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.72 / $269.14 / $313.01