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Nebraska rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.72 / $10,977.72 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.70 / $1,650.72 / $4,147.18
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
$748.29 / $1,579.74 / $3,322.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,970.08 / $5,970.08 / $5,970.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.42 / $3,166.00 / $5,120.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.14 / $1,764.05 / $5,349.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.38 / $4,019.47 / $7,351.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,898.31 / $3,812.92 / $7,008.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.79 / $3,273.50 / $5,131.85
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
$2,430.38 / $4,019.47 / $5,234.66