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Nebraska rates for HCPCS 67220

Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.25 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.31 / $767.72 / $2,641.29
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
$464.94 / $789.20 / $1,056.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.41 / $429.41 / $429.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.83 / $1,213.83 / $1,517.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.25 / $876.49 / $4,075.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.46 / $1,136.18 / $1,615.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.00 / $1,077.14 / $1,533.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.24 / $1,236.32 / $1,610.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.92 / $932.22 / $6,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.24 / $1,176.78 / $1,413.92