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Nebraska rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.92 / $6,141.01 / $16,762.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.57 / $402.70 / $1,053.83
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
$324.31 / $609.10 / $936.05
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
$556.78 / $960.58 / $1,427.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.30 / $585.30 / $1,551.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.12 / $1,018.17 / $2,674.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.81 / $1,077.14 / $2,842.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.96 / $922.14 / $1,323.49
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
$575.33 / $1,018.17 / $1,318.41