go back

Nebraska rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.21 / $41.21 / $41.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $49.68 / $62.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.04 / $3,005.00 / $3,005.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.52 / $120.55 / $120.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.21 / $70.06 / $155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.75 / $367.45 / $367.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.76 / $99.54 / $157.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $102.75 / $157.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $72.70 / $72.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $101.00 / $129.00