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Maine rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $50.94 / $71.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.81 / $208.81 / $208.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.60 / $118.38 / $118.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $72.40 / $72.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $50.94 / $71.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $44.29 / $101.86