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Nebraska rates for HCPCS 67113

Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,028.00 / $8,023.32 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.33 / $2,079.69 / $3,069.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.68 / $1,672.54 / $2,891.46
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
$1,188.68 / $2,026.16 / $2,701.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,942.51 / $3,942.51 / $3,942.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.34 / $3,015.90 / $4,007.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.41 / $3,432.24 / $9,595.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,413.06 / $1,413.06 / $1,413.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.55 / $2,735.05 / $4,834.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,477.09 / $3,502.09 / $5,256.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.65 / $3,078.32 / $3,596.93
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
$2,134.67 / $2,957.74 / $3,710.69