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Nebraska rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.47 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.31 / $218.55 / $503.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,531.27 / $9,468.52 / $16,616.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.53 / $298.27 / $443.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.67 / $480.00 / $674.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.50 / $273.19 / $503.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.12 / $540.17 / $1,748.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $437.36 / $669.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.00 / $447.68 / $619.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $308.70 / $650.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.00 / $3,167.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.83 / $508.34 / $610.62