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Nebraska rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $1,811.45 / $9,903.68
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
$1,752.66 / $2,987.48 / $3,983.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,737.00 / $4,348.14 / $5,829.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.45 / $3,222.24 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.34 / $3,861.91 / $5,423.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.00 / $4,348.88 / $5,829.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,935.44 / $3,890.71 / $5,829.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.00 / $7,221.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.34 / $3,926.99 / $5,116.77