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Nebraska rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

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
$632.35 / $632.35 / $3,435.10
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
$609.66 / $1,039.20 / $1,385.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.00 / $1,545.99 / $2,072.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.35 / $1,106.60 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.09 / $1,324.87 / $1,876.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.88 / $1,532.75 / $2,135.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.00 / $1,395.76 / $2,072.62
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
$801.09 / $1,368.01 / $1,725.42