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Ohio rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $78.63 / $89.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.68 / $45.50 / $118.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $127.13 / $158.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.53 / $137.72 / $254.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $47.77 / $62.76