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Nebraska rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.05 / $7,119.04 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.05 / $535.04 / $1,084.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,281.85 / $5,631.80 / $10,893.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.22 / $445.98 / $1,066.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.00 / $716.63 / $1,593.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.74 / $535.04 / $1,016.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.63 / $906.61 / $4,430.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.74 / $832.80 / $1,352.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.74 / $716.63 / $1,352.58
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
$551.92 / $951.05 / $1,334.96