go back

Nebraska rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.61 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $995.61 / $5,295.23
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
$956.00 / $1,629.54 / $2,172.71
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
$1,574.00 / $2,444.82 / $3,313.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.61 / $1,742.32 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.96 / $2,127.71 / $3,073.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.00 / $2,659.24 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.14 / $2,209.88 / $3,313.12
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
$1,353.96 / $2,224.19 / $2,916.23