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Nebraska rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.23 / $1,251.23 / $1,251.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.18 / $1,354.60 / $1,700.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.78 / $1,510.30 / $1,510.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $1,990.13 / $2,487.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.23 / $1,876.85 / $2,809.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.80 / $771.56 / $1,210.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,540.31 / $1,701.21 / $3,015.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.39 / $1,540.31 / $3,504.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.37 / $771.56 / $857.62