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Nebraska rates for HCPCS 14302

Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.09 / $4,241.22 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.60 / $955.48 / $4,080.00
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
$186.50 / $317.44 / $423.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.64 / $469.02 / $648.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.60 / $465.14 / $1,775.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$778.71 / $778.71 / $778.71
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.34 / $97.34 / $97.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.44 / $459.53 / $1,569.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $467.98 / $648.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.17 / $467.98 / $648.59
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
$258.44 / $459.53 / $502.65