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Nebraska rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,825.61 / $10,977.72 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.50 / $3,374.21 / $4,307.80
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
$777.73 / $1,767.56 / $7,652.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,783.57 / $5,783.57 / $5,783.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.76 / $4,205.84 / $11,527.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.04 / $3,825.61 / $8,540.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.68 / $8,479.77 / $15,044.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $6,222.23 / $9,917.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.27 / $5,282.53 / $11,074.34
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
$4,775.68 / $7,728.60 / $10,820.04