go back

Nebraska rates for HCPCS 20922

Fascia lata graft; by incision and area exposure, complex or sheet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $7,244.36 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $851.14 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,698.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,365.16 / $8,128.31