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Nebraska rates for HCPCS 15841

Graft Facial Nerve Paralysis Free Muscle Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.19 / $1,618.19 / $9,373.11
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
$1,556.34 / $2,639.67 / $3,537.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.83 / $3,974.97 / $5,307.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.19 / $3,386.81 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.13 / $3,597.21 / $13,065.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.54 / $3,552.86 / $4,770.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.69 / $3,552.86 / $4,770.34
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
$2,108.13 / $3,714.33 / $4,094.02