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Nebraska rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $12.94 / $12.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $12.94 / $14.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $19.88 / $24.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $16.18 / $29.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $7.97 / $12.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $17.59 / $31.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $14.39 / $36.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $7.97 / $12.50