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Nebraska rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.94 / $109.79 / $298.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.78 / $70.64 / $579.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.80 / $30.94 / $206.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.19 / $39.69 / $373.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.53 / $139.86 / $143.36
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.39 / $60.89 / $62.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.12 / $78.95 / $80.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.76 / $179.76 / $179.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.82 / $161.93 / $221.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.87 / $70.37 / $93.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.05 / $93.68 / $137.03
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.31 / $145.31 / $145.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $150.22 / $583.91
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.61 / $64.09 / $335.18
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.85 / $87.54 / $353.01
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.45 / $111.61 / $179.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.71 / $184.37 / $227.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.60 / $183.90 / $211.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.41 / $149.76 / $228.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.61 / $61.73 / $86.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.19 / $83.37 / $142.19