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Nebraska rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

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