go back

Nebraska rates for HCPCS V2630

Anterior chamber intraocular lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.58 / $115.58 / $115.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $115.58 / $135.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.16 / $2,196.16 / $2,196.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.53 / $139.52 / $139.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $165.75 / $210.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.58 / $173.37 / $259.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $71.27 / $111.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.29 / $157.16 / $278.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.59 / $142.29 / $323.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $67.70 / $71.27