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Nebraska rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.89 / $1,448.30 / $7,727.65
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
$1,386.13 / $2,362.71 / $3,150.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.17 / $3,532.44 / $4,772.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.30 / $2,534.53 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.11 / $3,228.96 / $4,399.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,881.74 / $3,387.17 / $4,772.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.73 / $3,187.04 / $4,772.02
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
$1,953.11 / $3,335.31 / $4,206.68