go back

Nebraska rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

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
$793.29 / $793.29 / $4,545.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,952.65 / $9,144.62 / $17,688.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.34 / $1,307.97 / $1,743.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,368.73 / $2,368.73 / $2,368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.00 / $1,910.95 / $2,561.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.29 / $1,388.26 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.86 / $1,736.32 / $2,380.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,987.17 / $2,961.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.53 / $1,860.74 / $2,561.88
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
$1,049.86 / $1,772.21 / $2,261.25