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Nebraska rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.70 / $8,042.03 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,097.37 / $7,097.37 / $7,097.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.15 / $765.26 / $2,029.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.06 / $1,314.41 / $7,975.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00