go back

Nebraska rates for HCPCS V2109

Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.14 / $48.14 / $48.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.75 / $49.84 / $66.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.56 / $91.88 / $114.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.14 / $60.44 / $108.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.66 / $29.69 / $46.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.26 / $65.45 / $116.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $53.60 / $134.86
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
$21.52 / $29.69 / $31.81