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Nebraska rates for HCPCS V2321

Lenticular Lens, Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.21 / $114.21 / $114.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.53 / $116.43 / $137.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $163.50 / $204.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.19 / $141.16 / $256.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.74 / $70.42 / $110.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $155.28 / $275.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $127.18 / $319.91
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
$51.06 / $70.42 / $84.70