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Nebraska rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Facilitymedian $6,457 · 10th–90th $3,548$12,5890%10%10th90th$6,457Professionalmedian $5,248 · 10th–90th $4,266$6,9180%20%10th90th$5,248$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $7,585.78 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,365.16 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,630.78 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,248.07 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $3,630.78 / $6,760.83