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Nebraska rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.00 / $1,383.40 / $6,225.25
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
$1,132.45 / $1,997.83 / $2,811.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.48 / $3,441.48 / $4,284.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,369.35 / $2,075.10 / $8,250.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.50 / $3,458.71 / $11,116.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,407.40 / $3,140.94 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.11 / $2,878.47 / $3,940.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,596.60 / $3,928.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.32 / $3,285.84 / $3,578.28