go back

Nebraska rates for HCPCS C1789

Prothesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $5,632.06 / $6,683.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $4,972.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.06 / $2,164.52 / $3,798.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.32 / $402.32 / $804.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $1,666.22