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Nebraska rates for HCPCS V2106

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.19 / $44.19 / $44.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.19 / $45.75 / $53.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.22 / $73.88 / $92.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.19 / $55.48 / $99.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $27.25 / $42.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.40 / $60.08 / $106.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $49.21 / $123.78
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
$19.76 / $27.25 / $36.34