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Nebraska rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.63 / $1,505.43 / $5,325.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $15,538.48 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.15 / $1,498.52 / $2,011.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.77 / $2,268.73 / $3,014.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.63 / $1,924.94 / $9,855.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.98 / $2,039.60 / $9,966.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.41 / $2,316.00 / $5,542.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.00 / $2,009.39 / $2,707.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.98 / $1,909.59 / $2,372.82