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Nebraska rates for HCPCS 19364

Breast Reconstruction W/Free Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
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
$2,466.44 / $4,316.29 / $8,632.00
Medica
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$7,746.01 / $7,746.01 / $7,746.01
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,239.35 / $1,239.35 / $1,239.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,641.00 / $6,128.10 / $8,391.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.11 / $6,178.00 / $8,816.00