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Indiana rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.16 / $78.63 / $92.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $45.50 / $64.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $137.72 / $148.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.94 / $116.53 / $132.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $123.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $49.75 / $75.83