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Nebraska rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.98 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $165.60 / $506.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,604.20 / $6,007.32 / $11,713.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $179.13 / $340.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.96 / $743.96 / $743.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.53 / $353.21 / $522.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.59 / $307.39 / $3,044.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.34 / $354.66 / $465.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.15 / $402.08 / $945.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.08 / $323.64 / $499.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.42 / $374.13 / $462.11