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Nebraska rates for HCPCS V2204

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.98 / $52.98 / $52.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.52 / $54.85 / $62.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $77.25 / $96.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.98 / $69.45 / $118.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $32.67 / $51.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.23 / $72.03 / $127.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $59.00 / $148.38
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
$23.69 / $32.67 / $37.36