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Nebraska rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $42.66 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $58.88 / $97.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $41.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $35.48