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Nebraska rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.97 / $468.43 / $1,570.74
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
$289.79 / $549.74 / $932.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.62 / $914.58 / $1,429.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.10 / $615.90 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.29 / $1,006.57 / $3,714.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.28 / $736.86 / $1,305.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.00 / $898.62 / $1,364.26
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
$571.29 / $1,006.57 / $1,209.95