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Nebraska rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $7,413.35 / $20,928.72
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,164.99 / $5,585.77 / $9,969.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,187.86 / $8,386.12 / $15,742.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.60 / $2,072.76 / $9,653.94
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,699.00 / $2,699.00 / $13,402.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,442.13 / $1,442.13 / $1,442.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.98 / $2,151.30 / $4,968.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00