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Nebraska rates for HCPCS 65875

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,102.00 / $4,047.33 / $7,892.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.47 / $1,821.47 / $1,821.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.13 / $1,232.79 / $6,887.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.58 / $1,647.90 / $2,308.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00