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Nebraska rates for HCPCS 19371

Peri-Implant Capsulectomy Breast Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $9,185.68 / $20,928.72
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,439.30 / $6,054.31 / $10,506.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,187.86 / $8,386.12 / $15,742.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.51 / $1,235.25 / $8,632.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,482.53 / $4,482.53 / $4,482.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,304.52 / $1,787.17 / $2,865.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00