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Nebraska rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.12 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.12 / $454.27 / $1,551.52
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
$289.88 / $544.41 / $854.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,539.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.45 / $885.24 / $1,312.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.54 / $685.17 / $4,217.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.48 / $924.93 / $1,234.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.46 / $1,054.39 / $1,908.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.66 / $849.81 / $1,220.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.29 / $955.04 / $1,204.56