go back

Nebraska rates for HCPCS 21436

Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)

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
$1,851.89 / $1,851.89 / $10,751.50
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
$1,780.41 / $3,034.78 / $4,046.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,893.00 / $4,540.59 / $6,096.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.89 / $3,240.81 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.88 / $4,129.46 / $5,643.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.92 / $4,322.68 / $6,276.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,962.00 / $4,107.83 / $6,096.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.00 / $7,221.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.88 / $4,237.76 / $5,377.90