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Nebraska rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.07 / $1,076.78 / $3,402.14
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
$630.38 / $1,074.51 / $1,432.68
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
$1,332.71 / $1,608.06 / $2,010.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.61 / $1,242.97 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.16 / $1,199.25 / $1,699.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,733.94 / $3,015.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.95 / $1,364.09 / $1,818.70
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
$958.28 / $1,337.13 / $1,664.92