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Nebraska rates for HCPCS 40805

Removal of embedded foreign body, vestibule of mouth; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $5,011.87 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,762.47 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $512.86 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $407.38 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $354.81 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $707.95