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Nebraska rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.27 / $1,312.98 / $4,210.49
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
$767.40 / $1,308.07 / $1,744.10
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
$1,665.86 / $1,958.66 / $2,448.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.70 / $1,541.39 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.99 / $1,549.14 / $2,092.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,111.91 / $3,015.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.82 / $1,665.86 / $2,252.64
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
$1,166.85 / $1,741.67 / $2,064.51