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Arizona rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $70.73 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.21 / $83.55 / $124.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $44.29 / $585.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $44.29 / $63.55