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Nebraska rates for HCPCS 19369

Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (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
$1,830.52 / $1,830.52 / $10,685.60
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
$1,756.99 / $2,994.86 / $3,993.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,661.38 / $4,550.07 / $6,080.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.71 / $3,203.41 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.09 / $4,631.22 / $25,823.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,437.00 / $4,550.07 / $6,221.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,094.30 / $4,419.18 / $6,080.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $2,994.50 / $5,096.80
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
$2,677.88 / $4,413.91 / $5,518.80