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Nebraska rates for HCPCS V2020

Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.14 / $64.14 / $64.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.19 / $66.40 / $86.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $104.63 / $130.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.14 / $87.12 / $144.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $39.54 / $62.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.95 / $87.21 / $154.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.25 / $75.16 / $179.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $39.54 / $48.26