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Nebraska rates for HCPCS V2501

Contact Lens,Pmma,Toric Or Prism Ballast,Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.29 / $160.29 / $160.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $131.26 / $177.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $181.50 / $226.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.72 / $198.13 / $359.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $98.84 / $155.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $217.94 / $386.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.79 / $178.50 / $448.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $95.76 / $98.84