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Nebraska rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.74 / $561.92 / $3,140.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,949.08 / $7,762.05 / $15,135.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.54 / $924.79 / $1,233.06
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
$1,177.74 / $1,382.12 / $1,767.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.08 / $1,225.66 / $6,887.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.83 / $1,205.83 / $1,594.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.28 / $1,562.62 / $2,308.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.00 / $1,193.82 / $1,604.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.17 / $5,356.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.31 / $1,307.00 / $1,570.38