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Nebraska rates for HCPCS 66175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.50 / $10,506.16 / $21,899.37
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
$6,380.43 / $6,380.43 / $6,380.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.71 / $2,104.05 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.27 / $2,316.59 / $7,656.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00