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Maryland rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.97 / $63.22 / $98.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.43 / $67.43 / $67.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $99.15 / $144.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $48.02 / $65.12