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Nebraska rates for HCPCS 24802

Arthrodesis, elbow joint; with autogenous graft (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
$911.16 / $911.16 / $5,238.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.39 / $1,500.68 / $2,000.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.89 / $9,949.89 / $9,949.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.00 / $2,211.28 / $2,964.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.16 / $1,594.53 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.56 / $2,003.74 / $2,744.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,291.82 / $12,675.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.50 / $2,029.50 / $2,964.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.56 / $2,035.53 / $2,609.52