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Nebraska rates for HCPCS 21235

Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.98 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.66 / $682.98 / $2,898.90
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
$559.38 / $986.85 / $1,395.20
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
$883.29 / $1,431.70 / $2,091.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.67 / $1,002.57 / $3,044.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.35 / $1,499.79 / $5,054.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.33 / $1,708.01 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.90 / $1,428.17 / $1,953.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.35 / $1,513.62 / $1,909.07