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Nebraska rates for HCPCS 66170

Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,078.10 / $9,544.15 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,889.38 / $7,684.16 / $14,983.55
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
$1,019.51 / $2,048.44 / $7,673.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.68 / $2,185.76 / $2,889.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00