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Nebraska rates for HCPCS 67560

Orbital Implant Removal/Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.00 / $5,463.36 / $13,841.56
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
$2,380.56 / $2,380.56 / $2,380.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.39 / $2,084.69 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.96 / $2,454.03 / $3,123.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00