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Nebraska rates for HCPCS V2313

Spherocylinder, trifocal, 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
$97.18 / $97.18 / $97.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.67 / $99.88 / $117.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $146.25 / $182.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.18 / $125.29 / $218.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.73 / $59.93 / $94.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.64 / $132.13 / $234.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.39 / $108.22 / $272.20
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
$43.45 / $59.93 / $75.72