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Nebraska rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.18 / $8,042.03 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,604.20 / $6,007.32 / $11,713.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,539.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.98 / $1,431.71 / $4,217.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.67 / $1,688.07 / $2,411.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00