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Nebraska rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $18.55 / $18.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $23.07 / $31.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.87 / $299.57 / $299.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.43 / $57.28 / $57.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $31.55 / $67.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $159.61 / $159.61
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $42.65 / $72.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $47.11 / $72.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $31.20 / $31.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $47.00 / $56.00