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Nebraska rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,195.75 / $12,094.93 / $23,395.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.34 / $1,105.08 / $8,163.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$166.38 / $307.30 / $307.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.40 / $1,492.02 / $2,091.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00