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Nebraska rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $93.33 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $120.23 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $194.98 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $138.04 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $245.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,230.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $147.91 / $204.17