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Nebraska rates for HCPCS 00170

Anesthesia for intraoral procedures, including biopsy; not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
QZ
Low / Median / High Price
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$537.03 / $776.25 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$446.68 / $691.83 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$181.97 / $436.52 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$194.98 / $302.00 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$416.87 / $416.87 / $524.81