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Nebraska rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

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
$950.64 / $950.64 / $5,515.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.49 / $1,551.97 / $2,069.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.81 / $2,314.71 / $3,125.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.64 / $1,663.62 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.77 / $2,149.61 / $2,920.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.00 / $2,520.98 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.00 / $2,138.96 / $3,125.38
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
$1,219.22 / $2,206.62 / $2,799.50