go back

Nebraska rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.77 / $1,083.32 / $6,142.88
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
$1,035.90 / $1,765.73 / $2,354.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.78 / $441.78 / $441.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.67 / $2,629.46 / $3,492.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.94 / $2,036.36 / $6,169.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.79 / $2,332.65 / $3,098.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.51 / $1,851.00 / $3,050.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.00 / $2,328.33 / $3,050.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.00 / $2,743.00 / $6,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.66 / $2,489.94 / $3,039.38