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Nebraska rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,150.00 / $7,119.04 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.35 / $836.05 / $2,929.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.87 / $4,387.57 / $8,486.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.98 / $1,072.10 / $1,490.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.28 / $1,788.19 / $2,275.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.48 / $1,329.47 / $3,055.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.29 / $1,649.66 / $6,000.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.00 / $1,702.57 / $2,181.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.10 / $1,566.66 / $2,154.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.29 / $1,671.95 / $1,917.83