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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
$1,584.89 / $7,585.78 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $5,754.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,187.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $1,819.70