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Nebraska rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.12 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.53 / $189.12 / $669.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.84 / $8,047.30 / $15,106.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.15 / $226.31 / $383.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.64 / $377.58 / $610.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $283.68 / $1,041.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.23 / $483.99 / $1,503.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.01 / $364.98 / $547.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $367.72 / $549.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $144.50 / $553.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.23 / $444.29 / $551.10