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Nebraska rates for HCPCS 28104

Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.97 / $4,182.08 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,712.35 / $6,198.03 / $11,988.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.56 / $624.59 / $1,682.60
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.01 / $165.01 / $165.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.31 / $1,152.83 / $2,842.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00