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Nebraska rates for HCPCS D7241

Removal Of Impacted Tooth - Completely Bony, With Unusual Surgical Complications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $9,332.54 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $380.19 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,819.70 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $416.87