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Nebraska rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.96 / $10,977.72 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.59 / $1,148.96 / $4,979.00
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
$928.44 / $1,637.94 / $2,313.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,334.43 / $6,334.43 / $6,334.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.86 / $2,374.04 / $3,495.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.58 / $1,684.52 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.57 / $2,319.76 / $11,814.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $2,629.79 / $6,798.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.00 / $2,335.79 / $3,306.33
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
$1,494.57 / $2,471.79 / $3,219.08