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Nebraska rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.66 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $1,230.66 / $2,875.92
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
$51.38 / $117.56 / $2,052.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.72 / $167.88 / $3,752.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.04 / $1,613.52 / $3,154.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,961.70 / $2,792.17 / $4,010.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.88 / $2,021.97 / $3,668.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.44 / $2,268.21 / $3,668.59
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
$2,080.71 / $2,942.55 / $3,638.13