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Massachusetts rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $56.42 / $84.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.81 / $86.70 / $130.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $64.02 / $539.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $47.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $72.40 / $72.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $44.29 / $585.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $44.29 / $86.70