go back

Nebraska rates for HCPCS 21616

Excision first and/or cervical rib; with sympathectomy

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
$624.03 / $624.03 / $3,635.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,195.75 / $12,094.93 / $23,395.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.22 / $1,029.92 / $1,373.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.10 / $1,509.12 / $2,075.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.03 / $1,154.46 / $5,727.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.66 / $1,436.07 / $2,244.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.59 / $1,564.72 / $2,203.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.88 / $1,564.72 / $2,075.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.66 / $1,302.56 / $1,823.58