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Nebraska rates for HCPCS 67120

Removal of implanted material, posterior segment; extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.69 / $4,778.89 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,180.02 / $5,453.87 / $10,634.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.47 / $1,821.47 / $1,821.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.25 / $1,031.53 / $4,217.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.83 / $1,532.91 / $2,307.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00