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Nebraska rates for HCPCS 41017

Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.56 / $4,241.22 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,531.27 / $9,468.52 / $16,616.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.69 / $561.40 / $973.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $1,013.09 / $2,308.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00