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Nebraska rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.72 / $8,042.03 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.46 / $782.15 / $1,684.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,442.56 / $3,212.63 / $6,214.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.38 / $454.85 / $741.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.06 / $738.92 / $1,146.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.12 / $579.49 / $1,151.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.91 / $810.36 / $2,948.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.54 / $719.53 / $1,089.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.00 / $738.92 / $1,073.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.83 / $439.65 / $788.80
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
$474.91 / $836.74 / $958.53