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Nebraska rates for HCPCS 21433

Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.09 / $1,576.09 / $9,159.02
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
$1,513.72 / $2,580.19 / $3,440.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,611.00 / $3,855.77 / $5,197.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.09 / $2,758.16 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.06 / $3,521.14 / $4,808.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,038.21 / $3,872.78 / $5,350.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.00 / $3,501.51 / $5,197.97
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
$2,129.06 / $3,612.26 / $4,585.67