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Nebraska rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.27 / $279.27 / $513.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.96 / $3,142.94 / $5,515.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.81 / $448.62 / $604.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.53 / $669.82 / $957.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.27 / $438.20 / $895.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.82 / $638.78 / $2,251.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.13 / $686.57 / $1,200.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.00 / $604.79 / $898.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $350.40 / $522.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.82 / $638.78 / $789.26