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Nebraska rates for HCPCS V2113

Spherocylinder Single Vision Plus Or Minus 7.25 To Plus Or Minus 12.00d Sphere 4.25 To 6.00d Cylinder Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.93 / $60.93 / $60.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.93 / $63.47 / $74.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.14 / $102.75 / $128.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.93 / $81.45 / $136.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $37.57 / $58.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $82.83 / $146.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $67.84 / $170.67
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
$27.24 / $37.57 / $46.30