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Nebraska rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.31 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.70 / $174.31 / $630.16
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
$112.38 / $217.09 / $358.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.27 / $353.64 / $575.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.49 / $261.47 / $1,387.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.29 / $450.24 / $1,409.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.27 / $353.64 / $551.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $348.03 / $505.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $162.60 / $515.50
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
$277.54 / $430.91 / $517.61