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Nebraska rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.61 / $618.61 / $3,502.93
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
$598.13 / $1,009.36 / $1,359.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.69 / $1,533.27 / $1,989.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.61 / $1,405.33 / $8,816.00
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
$787.44 / $1,394.26 / $5,004.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,549.00 / $3,908.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.00 / $1,375.02 / $1,805.08
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
$787.44 / $1,394.26 / $1,565.08