go back

Nebraska rates for HCPCS 68850

Injection Contrast Medium Dacryocystograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.17 / $54.66 / $294.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.78 / $448.29 / $841.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.78 / $84.73 / $113.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $126.27 / $182.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.66 / $102.46 / $817.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.21 / $129.43 / $3,468.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.22 / $135.71 / $183.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $128.80 / $164.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.21 / $131.40 / $163.13