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Nebraska rates for HCPCS 92015

Determination of refractive state

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $25.70 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $22.39 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.18 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $36.31 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $30.90 / $91.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $35.48 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $41.69 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $42.66 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $23.99 / $45.71