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Nebraska rates for HCPCS 68371

Harvesting conjunctival allograft, living donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.38 / $637.49 / $2,185.82
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
$369.94 / $630.58 / $840.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,539.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.05 / $946.61 / $1,245.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.59 / $873.38 / $6,451.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.41 / $840.41 / $1,123.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.15 / $1,088.09 / $1,949.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $876.39 / $1,088.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.34 / $867.78 / $1,094.49