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Nebraska rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $13.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.65 / $133.31 / $133.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $276.57 / $1,206.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $20.59 / $24.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.43 / $276.57 / $1,206.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $340.91 / $1,206.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $13.00 / $15.60