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Nebraska rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,172.55 / $8,477.27 / $19,276.96
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
$3,141.50 / $3,141.50 / $3,141.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.74 / $1,443.52 / $7,934.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,781.62 / $3,987.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00