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Nebraska rates for HCPCS 29904

Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,888.44 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,445.44 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $1,995.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,479.11 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $1,621.81