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Nebraska rates for HCPCS 12057

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

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
$380.86 / $561.85 / $2,236.67
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
$401.88 / $737.52 / $1,120.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.74 / $1,262.59 / $1,716.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.42 / $816.16 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.64 / $1,255.60 / $4,470.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.28 / $1,021.74 / $1,522.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.00 / $1,110.75 / $1,647.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.00 / $1,527.00 / $4,317.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.64 / $1,255.60 / $1,451.26