go back

Nebraska rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$574.84 / $574.84 / $574.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.67 / $1,384.23 / $1,768.76
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
$1,105.75 / $1,875.40 / $2,513.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.09 / $2,801.64 / $3,842.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.70 / $2,718.89 / $8,632.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$8,418.48 / $8,418.48 / $8,418.48
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
$1,524.79 / $2,719.21 / $9,294.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.30 / $2,971.90 / $3,929.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.00 / $2,774.36 / $3,454.05
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
$1,524.79 / $2,601.82 / $2,939.45