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Nebraska rates for HCPCS 21451

Closed treatment of mandibular fracture; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.49 / $9,185.68 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.00 / $720.49 / $3,406.52
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
$629.58 / $1,073.16 / $1,456.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.07 / $986.07 / $986.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.32 / $1,498.21 / $2,181.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.77 / $1,106.48 / $1,843.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.93 / $1,575.60 / $4,773.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.38 / $1,435.06 / $2,016.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.00 / $1,546.54 / $2,077.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.47 / $1,354.15 / $1,861.03