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Nebraska rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $208.93 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $275.42 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $316.23 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $194.98