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Nebraska rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.74 / $4,518.60 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $162.02 / $778.14
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
$89.09 / $170.66 / $323.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.21 / $324.80 / $497.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.37 / $290.12 / $665.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.94 / $354.78 / $1,344.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.25 / $375.38 / $516.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.26 / $324.80 / $472.67
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
$198.94 / $350.52 / $409.91