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Nebraska rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

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
$834.73 / $834.73 / $4,840.56
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
$803.50 / $1,369.63 / $1,826.17
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
$1,364.00 / $2,042.09 / $2,737.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.73 / $1,460.78 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.77 / $1,853.58 / $2,539.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.43 / $2,235.75 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.00 / $1,845.11 / $2,737.69
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
$1,120.77 / $1,917.04 / $2,413.96