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Nebraska rates for HCPCS V2311

Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.51 / $86.51 / $86.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.51 / $89.57 / $105.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $146.25 / $182.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.51 / $109.15 / $194.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $53.35 / $83.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.51 / $117.63 / $208.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $96.34 / $242.33
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
$38.68 / $53.35 / $67.61