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Nebraska rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.69 / $2,254.69 / $12,891.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.80 / $10,419.34 / $20,154.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.73 / $3,662.00 / $4,903.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,318.43 / $5,419.42 / $7,448.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.69 / $4,045.78 / $7,441.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.50 / $4,997.09 / $6,796.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,946.33 / $5,563.62 / $7,588.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,217.06 / $5,299.28 / $7,448.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.50 / $5,159.79 / $6,507.84