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Nebraska rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,006.84 / $9,544.15 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.70 / $2,006.84 / $3,852.24
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
$436.08 / $991.11 / $3,963.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,471.52 / $4,471.52 / $4,471.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.28 / $1,357.45 / $6,024.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.84 / $3,395.75 / $7,221.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,274.12 / $4,442.16 / $6,789.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.04 / $3,943.66 / $5,805.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.87 / $3,392.07 / $6,283.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,331.62 / $4,824.43 / $5,624.84