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Nebraska rates for HCPCS 65782

Occular Surface Reconstruction Limbal Autograft

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
$1,060.53 / $1,764.30 / $6,072.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,123.07 / $2,123.07 / $2,123.07
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
$1,025.83 / $1,748.59 / $2,331.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,615.44 / $2,615.44 / $3,269.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.60 / $2,436.94 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.33 / $2,346.25 / $3,207.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $2,602.76 / $3,455.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.00 / $2,386.41 / $3,021.69
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
$1,736.23 / $2,461.71 / $3,055.58