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Nebraska rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.50 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.37 / $913.41 / $1,958.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.88 / $17,126.81 / $30,056.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.17 / $1,387.80 / $1,850.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.63 / $2,084.87 / $2,867.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.20 / $1,440.24 / $4,430.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.88 / $1,989.16 / $9,862.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,108.46 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.00 / $2,040.75 / $2,815.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,229.50 / $2,378.19
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
$1,327.88 / $2,079.03 / $2,192.76