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Nebraska rates for HCPCS V2500

Contact lens, PMMA, spherical, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.76 / $81.76 / $81.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $84.65 / $100.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.82 / $127.88 / $159.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.76 / $111.05 / $183.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $50.42 / $79.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.65 / $111.17 / $197.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $91.04 / $229.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.61 / $48.67 / $54.69