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Nebraska rates for HCPCS L8642

Hallux implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.75 / $289.75 / $289.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.75 / $289.75 / $341.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.35 / $439.27 / $443.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.83 / $499.81 / $499.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.83 / $499.81 / $770.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.64 / $492.58 / $1,623.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.01 / $226.68 / $377.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.34 / $499.81 / $629.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.61 / $583.83 / $988.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $224.66 / $261.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.34 / $226.68 / $281.06