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Nebraska rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $6,025.60 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $302.00 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $562.34 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $436.52 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $575.44 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $691.83 / $954.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $954.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $346.74 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $794.33