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Maine rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Facilitymedian $214 · 10th–90th $214–$2140%50%100%$214Professionalmedian $78 · 10th–90th $40–$890%20%10th90th$78$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $70.79 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $43.65 / $43.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $58.88 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $74.13 / $77.62