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Nebraska rates for HCPCS 21121

Genioplasty; sliding osteotomy, single piece

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.54 / $10,977.72 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.33 / $592.54 / $3,060.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.48 / $892.28 / $1,205.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,218.33 / $3,218.33 / $3,218.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.72 / $1,400.29 / $1,849.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.78 / $943.03 / $3,742.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.43 / $1,430.58 / $5,710.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.83 / $1,630.98 / $3,614.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.39 / $1,424.15 / $1,755.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.46 / $5,356.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.55 / $1,424.49 / $1,816.61