go back

Louisiana rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $84.65 / $98.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $71.68 / $73.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $54.61 / $66.50