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Nebraska rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,022.64 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.96 / $309.03 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,089.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $10,964.78