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Nebraska rates for HCPCS 15777

Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)

Facilitymedian $3,802 · 10th–90th $537–$22,3870%10%10th90th$3,802Professionalmedian $490 · 10th–90th $398–$6610%20%40%10th90th$490$200.0$500.0$1.0K$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
$446.68 / $3,801.89 / $22,387.21
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$933.25 / $8,317.64 / $32,359.37
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
$275.42 / $457.09 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,548.82 / $4,466.84