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Nebraska rates for HCPCS 21366

Open Tx Comp Fracture Malar Area W/Bone Graft

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
$1,162.67 / $1,162.67 / $6,732.16
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
$1,117.95 / $1,905.58 / $2,540.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.00 / $2,836.86 / $3,803.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.67 / $2,034.67 / $8,757.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.96 / $2,443.55 / $3,533.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.84 / $2,748.85 / $3,939.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.00 / $2,452.44 / $3,803.20
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
$1,561.96 / $2,597.40 / $3,183.88