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Nebraska rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,766.83 / $15,476.59 / $29,936.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.42 / $3,751.00 / $9,696.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,786.50 / $5,357.57 / $7,503.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00