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Nebraska rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.70 / $17.70 / $18.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $24.43 / $44.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $27.71 / $33.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.53 / $517.53 / $517.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $28.43 / $39.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $37.69 / $49.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $30.26 / $90.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $37.08 / $52.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.57 / $44.49 / $50.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $41.78 / $52.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $26.96 / $47.24