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Nebraska rates for HCPCS 21453

Closed Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.59 / $7,119.04 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.68 / $1,603.36 / $6,565.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.00 / $2,197.54 / $5,842.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00