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Nebraska rates for HCPCS 27691

Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.50 / $7,120.36 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,921.80 / $10,419.34 / $20,154.36
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
$683.95 / $1,231.10 / $8,816.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$192.66 / $1,887.52 / $1,887.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,714.12 / $6,616.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00