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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
$1,513.56 / $7,079.46 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $10,232.93 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,202.26 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $1,905.46 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,290.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,549.93