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Nebraska rates for HCPCS 66225

Repair of scleral staphyloma; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $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
$3,942.51 / $3,942.51 / $3,942.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.18 / $1,849.38 / $8,595.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $2,418.88 / $6,176.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00