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Nebraska rates for HCPCS 61559

Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts)

Facilitymedian $8,128 · 10th–90th $3,715–$14,4540%20%10th90th$8,128Professionalmedian $2,884 · 10th–90th $2,042–$8,1280%20%40%10th90th$2,884$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,344.23 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,964.78 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,311.31 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,128.61 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,890.45 / $33,113.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,073.80 / $16,982.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,011.87 / $7,413.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $3,467.37 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,073.80 / $5,370.32