go back

Nebraska rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.29 / $253.35 / $757.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.31 / $3,250.33 / $6,101.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.47 / $263.64 / $508.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.87 / $500.95 / $825.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.84 / $323.02 / $5,341.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.72 / $649.13 / $2,056.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.67 / $587.34 / $2,691.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.05 / $484.29 / $745.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.70 / $557.00 / $741.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.16 / $616.67 / $771.72