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Nebraska rates for HCPCS 15261

Fth/Gft Free W/Dir Clsr N/E/E/L Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.18 / $190.39 / $722.35
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
$130.05 / $242.88 / $380.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.82 / $414.58 / $608.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.78 / $311.92 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.21 / $439.36 / $2,266.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.31 / $416.09 / $639.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.55 / $378.63 / $553.66
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
$248.21 / $437.32 / $491.78