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Nebraska rates for HCPCS 65400

Excision Lesion Cornea Xcp Pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.32 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$418.97 / $418.97 / $483.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.62 / $929.72 / $3,188.69
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,313.19 / $2,313.19 / $2,313.19
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$418.97 / $697.29 / $2,391.52
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$83.79 / $139.46 / $478.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.35 / $1,510.35 / $1,510.35
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
$586.41 / $997.49 / $1,332.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.96 / $743.96 / $743.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.99 / $1,542.20 / $1,997.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.32 / $1,095.33 / $4,230.84
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,904.24 / $1,904.24 / $1,904.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.99 / $1,394.51 / $1,857.35
Medica
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$1,062.61 / $1,062.61 / $1,071.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.75 / $1,297.99 / $1,842.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.00 / $1,397.41 / $1,842.32
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
$1,031.94 / $1,511.52 / $1,816.11