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Nebraska rates for HCPCS V2213

Spherocylinder, bifocal, 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
$74.81 / $74.81 / $74.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $77.45 / $102.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.38 / $113.25 / $141.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.81 / $112.22 / $167.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.20 / $46.13 / $72.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.09 / $101.71 / $180.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.93 / $92.09 / $209.52
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
$33.44 / $46.13 / $51.81