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Nebraska rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.12 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.88 / $357.12 / $1,153.61
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
$213.19 / $404.44 / $713.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.87 / $668.47 / $1,092.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.58 / $497.36 / $1,540.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.07 / $778.89 / $2,838.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.28 / $553.09 / $1,005.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.18 / $660.37 / $1,041.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.25 / $408.11 / $759.22
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
$442.07 / $778.89 / $922.44