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Nebraska rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.01 / $8,042.03 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.68 / $554.01 / $2,537.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.61 / $4,406.97 / $8,524.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.77 / $812.63 / $1,118.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.56 / $409.56 / $409.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.07 / $1,147.89 / $1,650.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.68 / $831.78 / $1,306.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.47 / $1,199.98 / $3,575.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.82 / $1,089.00 / $1,512.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.00 / $1,192.67 / $1,598.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.47 / $1,170.05 / $1,523.79