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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
$1,318.26 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $602.56 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,202.26 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $724.44 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,288.25 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $851.14 / $1,412.54