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Nebraska rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

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
$697.83 / $697.83 / $3,899.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.71 / $1,146.66 / $1,528.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.67 / $2,091.67 / $2,091.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $1,664.50 / $2,231.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.83 / $1,221.20 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.17 / $1,508.59 / $2,055.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,766.48 / $2,606.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.46 / $1,622.00 / $2,231.46
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
$912.17 / $1,572.76 / $1,964.68