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Nebraska rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $6,025.60 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,659.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $6,309.57