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Nebraska rates for HCPCS 15842

Graft for facial nerve paralysis; free muscle flap by microsurgical technique

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
$2,448.36 / $2,448.36 / $14,239.90
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
$2,351.86 / $3,993.88 / $5,345.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,938.20 / $5,985.83 / $8,085.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.36 / $4,284.63 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,208.77 / $5,550.21 / $19,758.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.55 / $4,901.03 / $7,223.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,726.11 / $5,722.66 / $7,223.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $3,167.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,208.77 / $5,653.54 / $6,194.35