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Nebraska rates for HCPCS 21120

Genioplasty; augmentation (autograft, allograft, prosthetic material)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $8,511.38 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $11,748.98 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $891.25 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $891.25 / $4,265.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $1,949.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,456.54 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $1,548.82