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Nebraska rates for HCPCS V2305

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.61 / $75.61 / $75.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.88 / $78.28 / $89.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.86 / $108.38 / $135.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.61 / $100.50 / $169.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $46.62 / $73.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.07 / $102.80 / $182.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.81 / $84.35 / $211.78
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
$33.79 / $46.62 / $58.82