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Nebraska rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization 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
$812.71 / $1,359.09 / $4,649.08
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
$787.28 / $1,341.98 / $1,789.30
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
$1,709.02 / $2,010.08 / $2,650.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.31 / $1,696.73 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.58 / $1,784.74 / $2,379.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,277.96 / $5,047.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.00 / $1,770.01 / $2,320.32
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
$1,245.17 / $1,867.75 / $2,099.23