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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

Facilitymedian $49 · 10th–90th $33–$740%10%10th90th$49Professionalmedian $33 · 10th–90th $16–$420%20%10th90th$33$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $74.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $31.62
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $20.42 / $34.67