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Nebraska rates for HCPCS 19328

Removal of intact breast implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,801.89 / $11,481.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,905.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,128.31 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,202.26 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $954.99 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,000.00 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $645.65 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,318.26