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Nebraska rates for HCPCS V2784

Lens, Polycarbonate Or Equal, Any Index, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.87 / $45.87 / $45.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $45.87 / $53.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $66.00 / $82.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.87 / $62.31 / $103.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $28.29 / $44.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $62.37 / $110.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $51.08 / $128.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $27.41 / $30.14