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Nebraska rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.47 / $266.14 / $1,117.51
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
$195.63 / $363.69 / $541.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.77 / $629.54 / $892.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.20 / $408.39 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.97 / $687.47 / $2,126.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.48 / $533.73 / $765.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.99 / $604.86 / $786.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $322.39 / $928.00
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
$439.03 / $663.56 / $841.96