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Nebraska rates for HCPCS V2513

Contact Lens,Gas Permeable,Extended Wear, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $153.58 / $153.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.58 / $170.95 / $211.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $293.25 / $366.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.58 / $208.59 / $344.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.27 / $94.70 / $148.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.05 / $208.80 / $370.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.81 / $171.01 / $430.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $94.70 / $115.79