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Nebraska rates for HCPCS 67105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.04 / $8,477.27 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.62 / $462.31 / $1,570.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,180.02 / $5,453.87 / $10,634.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.38 / $435.17 / $582.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.39 / $249.39 / $249.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.41 / $680.93 / $851.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.04 / $522.58 / $2,248.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.16 / $688.73 / $1,972.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.39 / $593.89 / $876.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.98 / $690.67 / $1,178.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.66 / $654.30 / $940.98