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Nebraska rates for HCPCS 28106

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.21 / $400.21 / $2,281.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.64 / $664.17 / $885.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,501.37 / $8,501.37 / $8,501.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.00 / $987.90 / $1,304.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.21 / $740.39 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.03 / $917.68 / $1,239.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.99 / $1,092.98 / $9,124.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.17 / $943.22 / $1,304.57
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
$541.03 / $894.79 / $1,165.30