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Nebraska rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.80 / $456.80 / $2,723.36
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
$442.31 / $753.92 / $1,005.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,629.89 / $5,629.89 / $5,629.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.00 / $1,145.45 / $1,492.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.80 / $804.72 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.82 / $1,054.84 / $1,601.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.73 / $1,306.68 / $7,131.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.66 / $1,112.98 / $1,492.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.82 / $1,089.20 / $1,373.76