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Nebraska rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.75 / $3,588.88 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.85 / $294.56 / $1,099.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.19 / $482.32 / $671.55
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
$191.50 / $359.67 / $578.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.61 / $595.46 / $847.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.44 / $445.02 / $1,375.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.64 / $625.87 / $1,458.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.51 / $470.55 / $800.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.51 / $555.74 / $833.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.21 / $353.05 / $620.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.50 / $1,242.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.64 / $626.60 / $747.78