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Nebraska rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,677.35 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,073.80 / $19,054.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,398.83 / $3,890.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $9,332.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $9,332.54 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,454.71 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $2,818.38