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Nebraska rates for HCPCS 19367

Breast Reconstruction Single Pedicled Tram Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.26 / $1,609.26 / $9,332.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,506.16 / $12,883.29 / $24,185.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.64 / $2,636.32 / $3,515.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.03 / $4,005.32 / $5,318.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.67 / $2,816.21 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.98 / $4,052.15 / $23,475.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.00 / $4,005.32 / $5,458.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.37 / $3,892.25 / $5,318.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $2,664.90 / $4,481.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,101.98 / $3,753.54 / $4,156.72