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Nebraska rates for HCPCS 21345

Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.88 / $10,977.72 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.73 / $746.88 / $3,294.52
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
$628.51 / $1,106.96 / $1,523.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.07 / $986.07 / $986.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.72 / $1,563.63 / $2,244.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.19 / $1,128.08 / $1,921.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.63 / $1,611.98 / $5,995.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.38 / $1,544.84 / $2,244.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.36 / $1,574.55 / $2,118.30
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
$955.63 / $1,470.20 / $2,058.28