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Nebraska rates for HCPCS 21260

Periorbital Osteotomies Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.00 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.00 / $1,251.00 / $7,344.25
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
$1,199.08 / $2,043.90 / $2,725.19
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
$1,937.05 / $3,075.11 / $4,168.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.00 / $2,189.25 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.76 / $2,774.70 / $3,852.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.00 / $3,236.61 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.00 / $2,757.96 / $4,168.58
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
$1,693.76 / $2,774.70 / $3,648.09