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Nebraska rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.80 / $745.80 / $4,009.83
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
$720.53 / $1,228.19 / $1,637.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,586.86 / $5,586.86 / $5,586.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.00 / $1,855.82 / $2,439.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.80 / $1,309.14 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.59 / $1,737.52 / $2,634.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,052.04 / $6,518.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.10 / $1,836.61 / $2,439.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.59 / $1,794.09 / $2,262.82