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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
$43.52 / $43.52 / $43.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.52 / $45.06 / $56.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $66.00 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.52 / $65.40 / $97.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $26.83 / $42.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.58 / $59.17 / $104.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.66 / $53.58 / $121.91
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
$19.46 / $26.83 / $33.61