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Nebraska rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.24 / $4,241.22 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $72.19 / $312.10
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
$44.14 / $74.79 / $100.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.94 / $34.94 / $34.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.06 / $117.64 / $160.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.24 / $130.00 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.71 / $130.01 / $271.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $115.30 / $167.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.16 / $144.09 / $193.94
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
$106.95 / $130.01 / $179.06