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Missouri rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $71.01 / $92.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $51.58 / $82.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.62 / $42.61 / $42.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $86.03 / $168.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $44.29 / $135.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $44.29 / $63.38