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Nebraska rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.57 / $908.57 / $6,124.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.11 / $1,486.55 / $1,982.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.00 / $2,237.58 / $2,983.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.10 / $2,197.08 / $3,235.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.48 / $2,284.77 / $2,983.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.10 / $2,346.84 / $3,075.91