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Nebraska rates for HCPCS C1821

Interspinous process distraction device (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,659.59 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81