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Nebraska rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,102.00 / $4,047.33 / $7,892.00
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
$738.02 / $1,658.16 / $6,887.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.10 / $1,953.11 / $2,428.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00