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Nebraska rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $69.48 / $126.11
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
$57.72 / $101.79 / $141.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $170.43 / $251.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.06 / $95.06 / $181.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $176.91 / $555.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.58 / $146.02 / $231.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $159.13 / $207.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $98.50 / $235.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $172.10 / $182.88