go back

Nebraska rates for HCPCS 21630

Radical Resection Sternum

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
$1,196.94 / $1,196.94 / $6,295.82
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
$1,151.46 / $1,962.71 / $2,616.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.00 / $2,743.36 / $3,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.94 / $2,094.65 / $8,220.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.37 / $2,418.54 / $3,296.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.69 / $2,762.35 / $4,053.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.83 / $2,531.55 / $3,630.94
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
$1,462.37 / $2,497.28 / $3,149.72