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Nebraska rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.09 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.51 / $763.55 / $2,624.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.05 / $1,501.83 / $2,928.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.31 / $892.50 / $1,309.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.71 / $648.71 / $648.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.53 / $1,474.62 / $1,994.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.41 / $1,105.15 / $3,726.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.45 / $1,429.19 / $1,910.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.56 / $1,158.54 / $1,852.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.08 / $1,309.08 / $1,862.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.59 / $1,549.11 / $1,861.27