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Nebraska rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.02 / $33.02 / $33.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.64 / $34.04 / $49.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $54.38 / $67.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.02 / $49.34 / $74.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.54 / $20.36 / $31.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.65 / $44.90 / $79.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.17 / $40.65 / $92.51
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
$13.58 / $20.36 / $22.98