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Nebraska rates for HCPCS 21346

Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation

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
$953.49 / $953.49 / $5,075.47
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
$912.49 / $1,550.72 / $2,073.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.00 / $2,131.04 / $2,885.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.49 / $1,668.61 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.85 / $1,898.56 / $2,668.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.91 / $2,131.04 / $3,083.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.13 / $1,974.86 / $2,780.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.85 / $1,898.56 / $2,473.78