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Nebraska rates for HCPCS 65114

Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,417.02 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.25 / $2,435.96 / $8,131.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.49 / $2,417.88 / $3,223.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,380.56 / $2,380.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,079.19 / $3,608.01 / $4,540.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.12 / $3,147.92 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,112.89 / $3,132.96 / $4,084.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,932.00 / $2,973.84 / $4,207.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.37 / $3,079.19 / $4,207.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.79 / $3,234.96 / $4,080.13