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Nebraska rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.96 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $231.37 / $1,242.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$48.29 / $48.29 / $48.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $237.47 / $320.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00