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Nebraska rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.38 / $3,588.88 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.29 / $299.74 / $656.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.51 / $382.44 / $682.69
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
$194.88 / $366.00 / $588.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.36 / $588.60 / $861.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.56 / $429.24 / $1,401.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.86 / $616.08 / $2,348.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.24 / $471.29 / $812.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.01 / $571.45 / $847.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.82 / $360.90 / $630.40
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
$361.05 / $616.08 / $745.69