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Nebraska rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,083.01 / $7,119.04 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.73 / $914.92 / $1,933.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.21 / $1,613.21 / $1,613.21
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
$690.37 / $1,176.77 / $1,610.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.20 / $1,925.26 / $2,505.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.79 / $1,487.00 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.67 / $1,801.84 / $6,464.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,464.52 / $1,765.96 / $2,327.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.99 / $1,712.17 / $2,300.44
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
$1,022.67 / $1,766.33 / $2,028.53