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Oklahoma rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.25 / $80.84 / $92.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $89.15 / $136.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $56.42 / $119.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $44.29 / $63.55