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Nebraska rates for HCPCS V2523

Contact lens, hydrophilic, extended wear, per lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.33 / $148.33 / $148.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $153.57 / $187.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $258.75 / $323.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.33 / $187.63 / $333.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.80 / $91.47 / $143.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.60 / $201.69 / $357.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.06 / $165.17 / $415.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $91.47 / $113.10