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Nebraska rates for HCPCS 21268

Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.58 / $1,833.58 / $10,753.00
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
$1,758.59 / $2,997.61 / $3,996.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.00 / $4,503.20 / $6,108.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,833.58 / $3,208.77 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.36 / $3,725.05 / $5,640.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.50 / $4,232.05 / $6,203.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,674.30 / $3,939.38 / $6,108.72
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
$2,483.36 / $3,800.53 / $4,789.93