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Nebraska rates for HCPCS 21050

Condylectomy, temporomandibular joint (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.69 / $808.69 / $4,692.55
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
$774.96 / $1,320.96 / $1,761.28
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
$1,286.00 / $1,988.26 / $2,664.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.69 / $1,415.21 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.31 / $1,775.22 / $2,478.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,055.17 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.00 / $1,744.27 / $2,664.44
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
$1,024.43 / $1,857.88 / $2,354.83