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Nebraska rates for HCPCS V2201

Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $53.70 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $77.62 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $77.62 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.88 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.11 / $46.77