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Oregon rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $86.05 / $92.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.40 / $188.71 / $228.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.86 / $91.28 / $159.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.12 / $87.81 / $110.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.93 / $103.36 / $115.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.74 / $83.74 / $83.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.86 / $93.45 / $159.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $71.75 / $109.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $44.29 / $84.51