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Nebraska rates for HCPCS 66987

Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,774.45 / $11,100.08 / $23,483.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.53 / $799.53 / $1,521.47
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
$710.74 / $1,211.48 / $1,615.30
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
$1,681.76 / $2,062.28 / $2,577.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.53 / $2,041.08 / $11,879.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.69 / $1,770.90 / $2,353.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.46 / $3,141.50 / $4,294.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.46 / $2,223.04 / $2,550.77
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
$1,357.31 / $1,888.69 / $2,154.86