go back

Idaho rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $86.05 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.43 / $88.03 / $105.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.66 / $100.13 / $105.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $163.37 / $205.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.96 / $42.44 / $70.42