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Nebraska rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.78 / $1,104.09 / $4,616.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,184.40 / $9,736.70 / $18,278.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.62 / $1,539.52 / $2,240.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.28 / $2,596.28 / $3,014.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.07 / $1,656.15 / $6,451.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.48 / $2,753.56 / $8,857.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.05 / $2,489.78 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.94 / $2,222.92 / $3,014.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,239.00 / $3,147.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.38 / $2,467.86 / $2,988.03