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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
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.00 / $699.00 / $3,990.32
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
$677.51 / $1,154.84 / $1,539.81
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
$1,129.00 / $1,685.15 / $2,244.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $1,223.25 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.45 / $1,520.63 / $2,089.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,754.57 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.93 / $1,641.29 / $2,244.65
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
$919.45 / $1,570.14 / $1,980.36