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Nebraska rates for HCPCS 21387

Open Tx Orbital Floor Blowout Fx Combined Appr

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
$700.67 / $700.67 / $4,123.99
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
$673.53 / $1,148.07 / $1,530.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.00 / $1,728.04 / $2,327.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.67 / $1,226.17 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.22 / $1,510.88 / $2,163.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.36 / $1,715.42 / $2,369.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.00 / $1,512.26 / $2,327.63
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
$951.22 / $1,573.18 / $1,968.64