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Nebraska rates for HCPCS 21315

Closed treatment of nasal bone fracture with manipulation; without stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $3,801.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $158.49 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $131.83 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $323.59 / $467.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $223.87 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $346.74 / $630.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $323.59 / $602.56