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Nebraska rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.62 / $728.62 / $4,169.16
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
$704.72 / $1,201.22 / $1,601.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $1,752.18 / $2,342.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.62 / $1,275.08 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.92 / $1,590.87 / $2,183.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,825.00 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.24 / $1,729.13 / $2,342.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $8,816.00 / $10,575.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.92 / $1,613.97 / $2,071.83