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Nebraska rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,090.30 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $346.74 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,162.28 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $794.33 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $616.60 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $794.33 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $933.25
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
$331.13 / $575.44 / $1,000.00