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New Jersey rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.39 / $70.73 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.26 / $100.85 / $123.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $74.70 / $74.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.05 / $49.01 / $55.01