go back

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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $97.72 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $147.91 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $125.89 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $93.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $60.26 / $79.43