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Nebraska rates for HCPCS 19371

Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $7,079.46 / $13,182.57
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,467.37 / $6,025.60 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,128.31 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,513.56 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,778.28 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $8,912.51