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Nebraska rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.28 / $163.62 / $733.01
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
$136.97 / $235.33 / $327.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.65 / $369.02 / $503.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.02 / $286.33 / $665.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.16 / $354.42 / $1,316.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.31 / $378.31 / $503.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $329.32 / $469.93
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
$201.16 / $359.21 / $413.96