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Nebraska rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.41 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $1,043.54 / $2,022.70
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
$135.34 / $320.94 / $2,159.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.63 / $2,148.50 / $3,278.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.88 / $1,802.70 / $6,743.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.39 / $2,437.23 / $3,247.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.20 / $2,148.50 / $3,179.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.75 / $2,015.28 / $3,179.68
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
$1,803.56 / $2,516.59 / $3,174.08