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Nebraska rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $11,995.87 / $27,632.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,370.68 / $3,051.78
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
$1,192.55 / $2,032.77 / $2,710.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.90 / $3,048.62 / $4,089.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.46 / $2,179.56 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.38 / $2,762.56 / $3,771.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.30 / $2,965.28 / $4,100.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.51 / $2,797.93 / $4,089.37
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
$1,670.38 / $2,762.56 / $3,597.75