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Nebraska rates for HCPCS 21110

Appl Interdental Fixation Device Non-Fx/Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.18 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.12 / $808.18 / $3,715.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.84 / $7,809.88 / $15,106.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.75 / $1,189.35 / $1,623.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.96 / $918.96 / $918.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.06 / $1,666.10 / $2,345.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.12 / $1,227.70 / $1,843.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.90 / $1,664.83 / $5,290.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.35 / $1,556.45 / $2,258.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.74 / $1,613.79 / $2,331.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $3,167.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.90 / $1,734.84 / $2,169.23