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Nebraska rates for HCPCS 0253T

Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the suprachoroidal space

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
$812.83 / $933.25 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $7,762.47 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $2,089.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $2,187.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,089.30 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,456.54 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,041.74