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Nebraska rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/Lefort I

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
$2,588.16 / $2,588.16 / $14,719.80
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
$2,483.28 / $4,232.85 / $5,643.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,598.00 / $6,236.70 / $8,518.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.16 / $4,529.28 / $8,080.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,461.52 / $5,623.41 / $7,765.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,229.99 / $6,430.90 / $8,653.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,822.92 / $5,912.10 / $8,518.07
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
$3,461.52 / $5,877.36 / $7,455.59