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Nebraska rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $40.08 / $40.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $41.49 / $54.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $62.25 / $77.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.08 / $60.12 / $90.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $24.71 / $38.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.35 / $54.49 / $96.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $49.35 / $112.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.92 / $24.71 / $30.13