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Nebraska rates for HCPCS D7210

Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.67 / $3,988.75 / $3,988.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.67 / $136.02 / $263.50
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
$207.47 / $218.40 / $218.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.67 / $152.44 / $232.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $728.46 / $728.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.34 / $275.61 / $1,300.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $245.97 / $368.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $86.00 / $154.40