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Nebraska rates for HCPCS 12020

Tx Superficial Wound Dehiscence Simple Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.38 / $3,795.64 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.36 / $277.87 / $991.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.23 / $1,181.41 / $2,285.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.69 / $343.12 / $555.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.36 / $556.12 / $821.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.52 / $417.65 / $1,019.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.31 / $610.16 / $2,223.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.30 / $575.65 / $810.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.18 / $547.13 / $810.67
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
$346.31 / $581.52 / $703.01