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Nebraska rates for HCPCS 15758

Free fascial flap with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.87 / $4,387.57 / $8,486.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.78 / $3,941.36 / $7,934.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$6,409.11 / $6,409.11 / $6,409.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $4,930.09 / $6,874.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00