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Nebraska rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.16 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.96 / $803.99 / $3,001.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.28 / $871.28 / $871.28
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
$609.74 / $1,039.31 / $1,415.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.39 / $1,689.48 / $2,198.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.46 / $1,291.67 / $4,392.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.74 / $1,581.73 / $5,675.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.96 / $1,664.57 / $2,040.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.00 / $1,503.60 / $2,016.30
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
$897.74 / $1,581.73 / $1,819.16