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Nebraska rates for HCPCS 28086

Synovectomy Tendon Sheath Foot Flexor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.01 / $4,278.21 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.96 / $491.01 / $1,734.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,712.35 / $6,198.03 / $11,988.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.75 / $655.10 / $990.02
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
$653.35 / $1,015.94 / $1,493.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.48 / $623.12 / $1,660.48
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$160.77 / $160.77 / $160.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.91 / $1,122.70 / $2,635.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.92 / $1,130.27 / $2,842.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.33 / $1,054.07 / $1,430.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.91 / $1,130.33 / $1,425.65