go back

Nebraska rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.00 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,380.56 / $2,380.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.67 / $1,388.25 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.06 / $1,927.80 / $3,015.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,694.25 / $5,582.35 / $8,632.00