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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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $269.15 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $57.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $28.84 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $158.49 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $46.77 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $51.29 / $57.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $43.65 / $56.23