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Nebraska rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $4,265.80
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
$707.95 / $1,174.90 / $1,698.24
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
$812.83 / $1,698.24 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,698.24 / $2,398.83
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
$1,698.24 / $1,737.80 / $2,398.83
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
$794.33 / $1,348.96 / $1,905.46