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Nebraska rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.80 / $420.80 / $2,401.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,349.44 / $9,666.52 / $18,698.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.58 / $696.46 / $928.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.00 / $1,016.75 / $1,349.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.80 / $736.40 / $5,405.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.85 / $926.55 / $1,257.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.00 / $1,244.22 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.00 / $978.05 / $1,349.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.85 / $942.39 / $1,188.59