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Nebraska rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.50 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $110.52 / $366.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.10 / $1,606.29 / $3,132.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $120.55 / $162.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $61.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.13 / $194.78 / $243.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.50 / $132.36 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $169.68 / $250.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.70 / $155.03 / $220.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $181.71 / $229.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.56 / $183.92 / $220.98