go back

Nebraska rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.51 / $2,036.71 / $6,597.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.84 / $6,306.95 / $12,298.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.30 / $1,947.10 / $2,596.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,380.56 / $2,380.56 / $2,380.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.67 / $2,899.81 / $3,624.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.74 / $2,425.34 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.29 / $2,486.05 / $3,268.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.68 / $2,706.78 / $3,540.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.84 / $2,479.67 / $3,519.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.73 / $2,719.93 / $3,268.02