go back

Nebraska rates for HCPCS 14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Facilitymedian $6,166 · 10th–90th $1,738$10,4710%10%20%10th90th$6,166Professionalmedian $1,549 · 10th–90th $407$4,0740%10%20%10th90th$1,549$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $6,309.57 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,819.70 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$100.00 / $398.11 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,168.69 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,479.11 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,089.30 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,187.76 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,187.76 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,454.71 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,370.32 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,862.09 / $2,511.89