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Nebraska rates for HCPCS 65781

Ocular Surface Reconstruction Limbal Allograft

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
$1,228.44 / $2,042.35 / $7,032.61
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
$1,187.76 / $2,024.58 / $2,699.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,026.02 / $3,026.02 / $3,782.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.76 / $2,826.57 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.71 / $2,719.79 / $3,642.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.04 / $3,440.28 / $7,468.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.00 / $2,764.86 / $3,498.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,022.76 / $7,221.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.53 / $2,795.41 / $3,173.06