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Nebraska rates for HCPCS V2301

Sphere Trifocal Plus Or Minus 4.12 To Plus Or Minus 7.00d Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.70 / $74.70 / $74.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $77.34 / $90.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $122.25 / $152.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.70 / $103.23 / $167.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $46.07 / $72.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.96 / $101.57 / $180.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.70 / $83.18 / $209.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $46.07 / $56.17