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Nebraska rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

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
$903.80 / $1,484.61 / $4,810.18
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
$868.09 / $1,479.70 / $1,972.93
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
$1,884.42 / $2,214.98 / $2,768.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.03 / $1,783.31 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.48 / $1,793.72 / $2,395.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,380.56 / $3,015.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.24 / $1,884.42 / $2,586.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,700.00 / $6,178.00 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.90 / $1,994.01 / $2,337.17