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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
$1,000.00 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,606.93 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,202.26 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$758.58 / $758.58 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,258.93 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $8,912.51