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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
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,549.93 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,778.28 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $2,454.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,819.70 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,413.10 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $1,995.26