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Nebraska rates for HCPCS 67121

Removal of implanted material, posterior segment; intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $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
$841.75 / $1,925.15 / $7,441.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$652.85 / $652.85 / $652.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.58 / $2,003.61 / $2,531.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00