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Nebraska rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.31 / $271.25 / $1,110.19
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
$196.22 / $368.55 / $554.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.41 / $610.62 / $889.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $406.88 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.77 / $700.64 / $2,176.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.41 / $556.54 / $889.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.18 / $603.79 / $797.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $272.20 / $770.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.77 / $663.19 / $851.42