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Nebraska rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.44 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.52 / $784.44 / $3,694.31
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
$680.82 / $1,160.49 / $1,569.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.35 / $1,858.79 / $2,444.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.27 / $1,414.42 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.26 / $1,764.12 / $6,301.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.36 / $1,742.40 / $2,277.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.00 / $1,706.70 / $2,259.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.26 / $1,748.05 / $2,026.21