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Nebraska rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.38 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.38 / $824.38 / $4,399.81
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
$792.69 / $1,351.18 / $1,801.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.00 / $2,006.63 / $2,690.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.38 / $1,442.67 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.92 / $1,825.72 / $2,500.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.91 / $1,990.53 / $2,789.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.00 / $1,844.64 / $2,690.16
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
$1,103.92 / $1,825.72 / $2,377.67