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Nebraska rates for HCPCS V2205

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $56.77 / $56.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $58.78 / $66.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $85.50 / $106.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $77.84 / $127.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $35.01 / $54.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.89 / $77.19 / $136.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $67.94 / $159.01
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
$25.38 / $35.01 / $42.69