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Nebraska rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,332.54 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,041.74 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,754.23 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,951.21 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $3,235.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $2,290.87 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $3,467.37