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Nebraska rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.19 / $2,472.19 / $14,325.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,383.80 / $4,063.29 / $5,417.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,029.00 / $6,047.37 / $8,157.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.19 / $4,326.33 / $8,220.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,326.92 / $4,990.38 / $7,506.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,736.46 / $5,796.09 / $8,471.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,349.00 / $5,260.07 / $8,157.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,326.92 / $5,502.22 / $6,385.67