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Nebraska rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

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
$899.94 / $899.94 / $5,267.65
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
$869.05 / $1,481.35 / $1,975.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.00 / $2,176.03 / $3,005.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.94 / $1,664.89 / $8,220.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.02 / $2,040.00 / $2,752.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.69 / $2,250.62 / $3,163.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.49 / $2,236.52 / $3,005.09
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
$1,226.02 / $2,027.64 / $2,640.65