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Nebraska rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,380.56 / $2,380.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.73 / $1,337.53 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,838.63 / $3,015.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00