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Nebraska rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.97 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.97 / $2,045.97 / $12,003.10
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
$1,961.89 / $3,344.11 / $4,458.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,183.68 / $5,016.62 / $6,816.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.97 / $3,580.45 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,775.40 / $4,163.09 / $6,297.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,309.66 / $4,448.21 / $6,816.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,993.32 / $4,360.77 / $6,816.53
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
$2,675.72 / $4,303.66 / $5,284.74