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Nebraska rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.36 / $1,359.62 / $4,652.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,889.38 / $7,684.16 / $14,983.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.61 / $1,342.53 / $1,790.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.50 / $3,141.50 / $3,141.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.72 / $2,011.64 / $2,651.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.96 / $1,700.66 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.20 / $1,786.20 / $2,381.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,278.87 / $4,133.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.00 / $1,771.47 / $2,321.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.38 / $1,936.07 / $2,326.21