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Nebraska rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> 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
$1,421.81 / $1,592.09 / $8,501.54
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
$1,523.63 / $2,595.38 / $3,462.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.92 / $3,878.36 / $5,243.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.09 / $2,786.16 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,147.98 / $3,246.26 / $4,837.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.36 / $3,588.14 / $5,243.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,567.85 / $3,364.88 / $5,243.38
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
$2,147.98 / $3,552.45 / $4,358.77