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Nebraska rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.50 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$433.39 / $433.39 / $433.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.85 / $1,084.97 / $4,997.58
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
$559.97 / $954.49 / $1,272.65
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
$1,215.55 / $1,450.14 / $2,146.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.21 / $2,007.49 / $8,816.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$7,881.75 / $7,881.75 / $7,881.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.10 / $1,752.52 / $2,632.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.91 / $2,200.56 / $4,133.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.55 / $1,890.42 / $2,321.07
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
$1,389.15 / $1,995.18 / $2,204.58