go back

Nebraska rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.95 / $997.07 / $1,802.02
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
$944.44 / $1,609.84 / $2,146.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.16 / $2,414.42 / $3,332.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.95 / $1,671.02 / $3,141.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.62 / $2,312.34 / $11,430.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.60 / $2,445.82 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.60 / $2,368.98 / $3,269.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,531.10 / $3,011.90
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
$1,543.62 / $2,312.34 / $2,760.56