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Nebraska rates for HCPCS V2203

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.91 / $50.91 / $50.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $52.70 / $61.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $75.00 / $93.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.91 / $66.84 / $114.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $31.40 / $49.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.67 / $69.20 / $122.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $56.69 / $142.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $30.41 / $35.22