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Nebraska rates for HCPCS 19367

Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,659.59 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $12,302.69 / $23,988.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,630.27 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,981.07 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,548.13 / $23,442.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,073.80 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $2,951.21 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $6,456.54 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,235.94 / $4,365.16