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Nebraska rates for HCPCS V2511

Contact lens, gas permeable, toric, prism ballast, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $154.88 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $251.19 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $234.42 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $144.54