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Nebraska rates for HCPCS 67145

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.45 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.39 / $618.54 / $1,976.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$639.87 / $639.87 / $639.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.29 / $400.05 / $528.69
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
$208.44 / $353.17 / $473.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.86 / $217.86 / $217.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.95 / $560.16 / $745.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.45 / $752.38 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.31 / $840.18 / $1,444.94
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$865.40 / $865.40 / $865.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.74 / $562.09 / $1,153.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.20 / $791.39 / $1,229.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.34 / $975.49 / $1,400.70