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Nebraska rates for HCPCS 24370

Revis Elbow Arthrplsty Humeral/Ulna Compnt

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
$1,393.58 / $1,393.58 / $8,062.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,999.34 / $17,097.68 / $33,072.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.22 / $2,289.57 / $3,052.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,504.82 / $13,504.82 / $13,504.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.00 / $3,420.25 / $4,600.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.58 / $2,438.77 / $15,622.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.25 / $3,113.26 / $4,228.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.11 / $3,746.85 / $17,106.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.27 / $3,391.54 / $4,600.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,158.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.03 / $3,164.89 / $4,034.69