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Nebraska rates for HCPCS 15734

Muscle, myocutaneous, or fasciocutaneous flap; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $7,244.36 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,884.03 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,238.72 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $3,388.44 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,344.23 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,019.95 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,630.27 / $3,630.78