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Nebraska rates for HCPCS 14041

Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,204.28 / $6,732.07 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.49 / $991.03 / $2,112.39
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
$745.10 / $1,270.05 / $1,720.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.86 / $2,036.39 / $2,691.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.33 / $1,600.00 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.75 / $1,915.46 / $6,899.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.64 / $1,882.24 / $2,416.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.16 / $1,880.20 / $2,451.63
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
$1,099.75 / $1,963.85 / $2,166.51