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Nebraska rates for HCPCS V2105

Spherocylinder Single Vision Plano To Plus Or Minus 4.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $39.82 / $39.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $40.93 / $48.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $66.75 / $83.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $49.99 / $89.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $24.56 / $38.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.03 / $54.15 / $96.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.95 / $44.34 / $111.54
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
$17.80 / $24.56 / $27.62