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Nebraska rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.50 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.96 / $1,036.00 / $3,535.95
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
$552.25 / $904.89 / $1,255.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.65 / $1,362.65 / $1,703.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.30 / $1,515.34 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.05 / $1,400.15 / $2,439.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.28 / $1,826.21 / $3,015.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.78 / $1,475.26 / $1,826.21
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
$1,003.44 / $1,419.08 / $1,867.40