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Nebraska rates for HCPCS 0622T

Trabeculostomy Ab Interno Laser W/Oph Endoscope

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
$286.04 / $286.04 / $364.26
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
$286.66 / $488.63 / $651.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.25 / $718.08 / $1,418.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.04 / $543.48 / $7,856.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.65 / $654.52 / $878.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.47 / $509.43 / $754.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.47 / $539.25 / $1,418.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.65 / $675.83 / $852.40