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Nebraska rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.58 / $49.58 / $49.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.58 / $49.58 / $952.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.84 / $8,047.30 / $15,106.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.09 / $126.41 / $126.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.58 / $84.29 / $131.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.77 / $402.94 / $402.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.88 / $128.38 / $1,472.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $111.54 / $163.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $90.30