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Nebraska rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.68 / $2,912.34 / $12,036.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $272.85 / $805.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.87 / $232.57 / $407.00
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
$148.02 / $280.80 / $490.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.49 / $461.50 / $701.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.01 / $339.35 / $1,065.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.17 / $523.59 / $1,127.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.79 / $389.19 / $647.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.38 / $453.56 / $701.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.31 / $278.64 / $523.28
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
$297.17 / $544.25 / $634.07