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Nebraska rates for HCPCS 0621T

Trabeculostomy Ab Interno By Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.38 / $208.38 / $266.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,102.00 / $4,047.33 / $7,892.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.09 / $356.41 / $475.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.74 / $3,981.74 / $3,981.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.62 / $523.58 / $1,034.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.38 / $571.05 / $15,056.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.51 / $478.03 / $641.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.10 / $550.48 / $5,308.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.10 / $393.62 / $1,034.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.51 / $493.59 / $622.54