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Nebraska rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,263.19 / $7,567.08 / $13,841.56
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$100.88 / $100.88 / $100.88
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$378.29 / $378.29 / $378.29
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$75.66 / $75.66 / $75.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.12 / $667.11 / $1,628.78
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$730.91 / $2,144.29 / $4,329.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$252.19 / $419.01 / $1,443.23
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$378.29 / $628.51 / $1,093.39
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$7.85 / $75.66 / $432.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.16 / $922.60 / $1,187.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,007.90 / $3,924.55 / $7,652.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.89 / $831.64 / $1,108.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.47 / $1,821.47 / $1,821.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.10 / $1,243.44 / $1,641.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.45 / $2,493.19 / $6,887.55
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,609.20 / $4,609.20 / $4,609.20
Medica
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,305.69 / $1,305.69 / $1,305.69
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$4,569.92 / $4,569.92 / $4,569.92
Medica
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$979.27 / $979.27 / $979.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.66 / $1,079.73 / $1,452.89
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,554.72 / $1,770.38 / $1,810.62
Medica
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$775.54 / $839.97 / $1,010.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.73 / $1,641.42 / $2,333.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.58 / $1,286.60 / $1,616.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.55 / $1,209.22 / $1,527.40