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Nebraska rates for HCPCS 65112

Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,549.93 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $6,309.57 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,290.87 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,548.13 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,019.95 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,754.23 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,311.31 / $4,677.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,311.31 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $3,630.78