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Nebraska rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.77 / $5,909.48 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.23 / $1,181.41 / $2,285.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.42 / $1,062.42 / $1,062.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.72 / $648.46 / $1,609.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.36 / $1,120.57 / $1,662.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00