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Nebraska rates for HCPCS 67141

Proph Retinal Dtchmnt W/O Drg Crtx Diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.21 / $4,778.89 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.39 / $376.11 / $2,573.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.10 / $1,606.29 / $3,132.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.74 / $371.56 / $506.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.17 / $240.17 / $240.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.20 / $620.36 / $830.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.47 / $661.58 / $1,774.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.29 / $968.90 / $1,443.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.18 / $581.51 / $1,128.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.43 / $830.81 / $1,220.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.50 / $1,068.27 / $1,391.24