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Nebraska rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.52 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $107.80 / $530.00
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
$68.53 / $130.03 / $215.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $218.15 / $346.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $167.29 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.74 / $249.73 / $859.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.75 / $218.15 / $363.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.93 / $214.55 / $314.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.52 / $128.19 / $230.15
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
$141.74 / $259.14 / $278.45