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Nebraska rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $11,748.98 / $22,908.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,737.80 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $6,606.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $2,454.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,819.70 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $2,041.74