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Nebraska rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

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
$1,544.25 / $1,544.25 / $8,969.08
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
$1,482.23 / $2,526.53 / $3,368.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,576.00 / $3,772.40 / $5,083.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.25 / $2,702.44 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.25 / $3,223.04 / $4,708.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.86 / $3,831.70 / $5,244.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.00 / $3,330.68 / $5,083.07
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
$2,015.61 / $3,447.03 / $4,229.43