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Nebraska rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.73 / $165.63 / $673.05
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
$121.05 / $218.15 / $311.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.08 / $346.70 / $508.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.46 / $273.27 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.16 / $362.22 / $1,249.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.45 / $359.46 / $519.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.97 / $334.24 / $451.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.83 / $210.81 / $336.44
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
$207.16 / $353.48 / $399.35