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Nebraska rates for HCPCS 42500

Plstc Rpr Salivary Dux Sialodochoplasty Prim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.97 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,184.40 / $10,415.37 / $18,278.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.09 / $564.45 / $941.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.91 / $996.75 / $4,831.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00