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Nebraska rates for HCPCS 15734

Musc Myocutaneous/Fasciocutaneous Flap Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.41 / $2,694.82 / $7,841.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.87 / $4,387.57 / $8,486.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.97 / $2,197.96 / $2,952.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.85 / $3,299.11 / $4,456.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.20 / $2,833.62 / $8,632.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$6,576.94 / $6,576.94 / $6,576.94
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,052.31 / $1,052.31 / $1,052.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.43 / $3,048.09 / $12,056.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,731.94 / $3,299.11 / $4,456.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $3,032.51 / $4,023.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.43 / $3,048.09 / $3,408.95