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Nebraska rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

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
$1,517.90 / $1,517.90 / $8,637.31
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
$1,456.89 / $2,483.32 / $3,311.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,546.46 / $5,546.46 / $5,546.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,614.00 / $3,670.34 / $4,985.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.90 / $2,656.33 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.07 / $3,345.85 / $5,001.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,035.99 / $4,047.64 / $6,780.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.00 / $3,583.67 / $4,985.80
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
$2,023.07 / $3,454.79 / $4,357.39