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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
$140.19 / $3,666.78 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.81 / $140.19 / $344.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $129.44 / $287.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.07 / $986.07 / $986.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.47 / $295.10 / $470.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.51 / $220.05 / $595.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.16 / $498.24 / $1,100.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.38 / $416.15 / $1,249.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.30 / $352.05 / $625.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.16 / $511.02 / $715.43