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Nebraska rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,303.68 / $6,975.78 / $13,493.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,282.31 / $22,282.31 / $22,282.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.18 / $1,872.82 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.00 / $2,861.60 / $25,110.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00