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Nebraska rates for HCPCS 22855

Removal Anterior Instrumentation

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
$6,619.76 / $8,706.79 / $16,841.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.70 / $1,703.98 / $8,220.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$273.04 / $511.52 / $511.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.39 / $2,453.64 / $3,431.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00