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Nebraska rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.36 / $318.62 / $6,732.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.53 / $138.02 / $382.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $44.78 / $103.00
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
$52.53 / $103.59 / $206.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.64 / $169.99 / $312.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.11 / $232.66 / $518.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.60 / $229.33 / $918.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.55 / $206.37 / $312.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.55 / $213.63 / $303.85
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
$128.60 / $235.51 / $261.50