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Nebraska rates for HCPCS 67413

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,028.00 / $10,431.19 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,539.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.69 / $1,802.55 / $6,781.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $1,854.85 / $2,586.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00