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Nebraska rates for HCPCS V2503

Contact lens, PMMA, color vision deficiency, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.40 / $136.40 / $136.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.38 / $141.21 / $171.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.93 / $237.75 / $297.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.40 / $171.23 / $306.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.19 / $84.11 / $131.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.92 / $185.46 / $328.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.71 / $151.90 / $382.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.98 / $84.11 / $120.16