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Nebraska rates for HCPCS 28260

Capsulotomy, midfoot; medial release only (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.75 / $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
$2,368.73 / $2,368.73 / $2,368.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.24 / $936.62 / $2,554.52
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$247.81 / $247.81 / $247.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,579.32 / $2,842.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00