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Nebraska rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $11,611.47 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,949.08 / $7,762.05 / $15,135.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.50 / $3,141.50 / $3,141.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.22 / $2,047.07 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.63 / $2,485.30 / $4,133.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00