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Nebraska rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $3,801.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $416.87 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,165.95 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $870.96 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,348.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,365.16 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $1,071.52