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Nebraska rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.49 / $8,042.03 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $590.85 / $1,283.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,183.05 / $10,762.95 / $20,819.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.26 / $865.50 / $1,239.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.94 / $1,271.81 / $1,874.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.79 / $835.29 / $2,312.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.16 / $1,346.50 / $3,680.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.51 / $1,423.58 / $2,842.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.04 / $1,289.85 / $1,737.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.16 / $1,372.96 / $1,753.58