go back

Nebraska rates for HCPCS 24320

Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.91 / $711.91 / $4,087.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,349.44 / $9,666.52 / $18,698.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.69 / $1,173.91 / $1,565.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,266.26 / $5,266.26 / $5,266.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,716.61 / $2,301.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.91 / $1,245.83 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.01 / $1,561.24 / $2,140.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,783.50 / $6,616.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.00 / $1,662.57 / $2,301.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.01 / $1,561.24 / $2,033.25