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Nebraska rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.88 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.41 / $339.49 / $769.33
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
$209.94 / $398.27 / $678.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.47 / $653.62 / $1,006.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.25 / $469.24 / $1,510.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.29 / $718.87 / $2,702.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.28 / $516.67 / $952.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.40 / $652.83 / $984.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.14 / $390.91 / $724.52
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
$421.29 / $742.28 / $858.91