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Nebraska rates for HCPCS 24301

Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,018.72 / $10,546.81 / $20,400.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.74 / $1,203.55 / $8,816.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$193.00 / $1,887.52 / $1,887.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,737.84 / $6,616.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00