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Nebraska rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.76 / $1,109.76 / $5,959.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.84 / $10,999.42 / $21,276.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.59 / $1,828.30 / $2,437.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,674.81 / $6,674.81 / $6,674.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.00 / $2,698.90 / $3,618.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.76 / $1,997.57 / $9,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.27 / $2,446.48 / $3,348.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.09 / $2,991.51 / $8,947.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.68 / $2,635.40 / $3,618.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.27 / $2,526.14 / $3,186.12