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Nebraska rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $11,748.98 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,290.87 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,235.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,398.83 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $2,691.53