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Nebraska rates for HCPCS 35903

Excision of infected graft; extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,118.27 / $6,731.93 / $13,021.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.25 / $995.50 / $7,984.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$757.42 / $757.42 / $757.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.03 / $1,224.11 / $1,651.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00