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Nebraska rates for HCPCS 21230

Graft Rib Crtlg Autogenous Face/Chin/Nose/Ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,100.08 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.83 / $1,205.45 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.80 / $1,932.00 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00