go back

Nebraska rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.85 / $769.90 / $2,641.19
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
$447.87 / $763.40 / $1,017.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.50 / $3,141.50 / $3,141.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.21 / $1,145.28 / $1,501.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.51 / $1,055.82 / $7,934.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.20 / $1,015.08 / $1,370.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.49 / $1,317.49 / $4,133.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.00 / $1,019.27 / $1,317.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,356.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.16 / $1,051.51 / $1,321.96