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Nebraska rates for HCPCS V2112

Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.07 / $54.07 / $54.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.07 / $55.98 / $73.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.08 / $101.63 / $127.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.07 / $73.43 / $121.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $33.34 / $52.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $73.51 / $130.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.96 / $60.20 / $151.44
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
$24.17 / $33.34 / $50.22