go back

Nebraska rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.02 / $4,241.22 / $12,765.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $171.15 / $699.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,616.14 / $6,256.05 / $11,744.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.52 / $264.07 / $520.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.16 / $513.04 / $767.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.24 / $435.25 / $2,552.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.87 / $631.41 / $2,043.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.04 / $607.98 / $1,425.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.38 / $513.04 / $735.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $371.00 / $765.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.87 / $599.85 / $760.00