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Nebraska rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.38 / $4,518.60 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $435.38 / $2,079.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.85 / $8,579.33 / $16,595.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.64 / $630.95 / $881.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.67 / $2,091.67 / $2,091.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.40 / $908.52 / $1,352.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.78 / $628.59 / $2,560.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.04 / $1,020.38 / $3,085.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.94 / $1,078.73 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.99 / $998.14 / $1,297.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.04 / $1,045.20 / $1,318.27