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Nebraska rates for HCPCS 21407

Open treatment of fracture of orbit, except blowout; with implant

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
$600.29 / $600.29 / $3,403.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.66 / $979.57 / $1,306.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.00 / $1,447.70 / $1,940.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.29 / $1,050.51 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.23 / $1,310.23 / $1,793.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.00 / $1,591.61 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.00 / $1,328.38 / $1,940.85
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
$751.99 / $1,352.89 / $1,706.35