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Nebraska rates for HCPCS 19361

Breast Reconstruction W/Latissimus Dorsi Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,506.16 / $12,883.29 / $24,185.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.80 / $2,478.04 / $7,856.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$713.16 / $713.16 / $713.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,557.00 / $3,428.64 / $4,685.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00