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Nebraska rates for HCPCS 21347

Optx Nasomax Cplx Fx Left Ii Type Req Mlt Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.23 / $965.23 / $5,357.14
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
$923.73 / $1,573.55 / $2,099.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.00 / $2,282.38 / $3,035.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.23 / $1,689.15 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.66 / $2,055.16 / $3,005.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.04 / $2,321.19 / $3,236.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.71 / $2,250.65 / $3,035.98
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
$1,242.66 / $2,055.16 / $2,676.49