go back

Kentucky rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.16 / $59.16 / $59.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $73.97 / $92.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.86 / $58.48 / $111.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.06 / $124.29 / $155.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.66 / $124.29 / $211.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.44 / $115.44 / $115.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $104.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $44.29 / $63.55