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Nebraska rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.48 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.20 / $319.48 / $1,585.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.63 / $3,041.74 / $5,883.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.42 / $504.98 / $685.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.50 / $730.02 / $1,026.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.52 / $525.79 / $715.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.32 / $663.98 / $2,323.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.08 / $670.00 / $947.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.30 / $682.28 / $947.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.76 / $668.16 / $865.15