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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
$190.02 / $190.02 / $190.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.65 / $182.81 / $196.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.84 / $253.13 / $316.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.86 / $234.86 / $426.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $117.17 / $183.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.00 / $258.35 / $457.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.11 / $211.61 / $532.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $117.17 / $117.17