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Nebraska rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.17 / $1,131.17 / $6,759.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.18 / $1,846.31 / $2,461.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.00 / $2,758.01 / $3,851.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.17 / $2,036.11 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.14 / $2,624.89 / $3,571.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.23 / $2,995.12 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,011.68 / $2,664.47 / $3,851.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.97 / $2,624.89 / $3,418.46