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Nebraska rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.86 / $115.86 / $115.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.81 / $119.08 / $139.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $166.13 / $207.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.86 / $153.08 / $260.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $71.45 / $112.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $157.53 / $279.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.08 / $129.02 / $324.56
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
$51.80 / $71.45 / $95.27