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Nebraska rates for HCPCS 21740

Reconstructive repair of pectus excavatum or carinatum; open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,445.44 / $5,248.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,022.64 / $23,442.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,238.72 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,995.26 / $11,481.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,162.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,238.72 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,819.70 / $2,630.27