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Nebraska rates for HCPCS 67101

Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.70 / $439.14 / $1,507.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.92 / $472.02 / $635.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.98 / $770.53 / $963.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.07 / $768.72 / $2,153.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.54 / $763.41 / $1,272.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.19 / $730.30 / $1,014.70