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Nebraska rates for HCPCS 19380

Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.61 / $7,943.37 / $20,928.72
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,813.94 / $8,056.00 / $11,400.00
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
$804.80 / $1,499.68 / $10,864.34
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,425.09 / $5,425.09 / $5,425.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,839.49 / $4,968.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00