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Nebraska rates for HCPCS 65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.66 / $9,544.15 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.38 / $710.94 / $2,446.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,065.60 / $6,609.33 / $12,887.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.17 / $797.71 / $1,109.05
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
$1,015.63 / $1,296.68 / $1,691.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.10 / $871.28 / $6,282.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.10 / $1,188.89 / $1,576.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.16 / $1,352.05 / $2,973.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.33 / $1,165.29 / $1,569.69
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
$879.78 / $1,244.18 / $1,548.32