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Rhode Island rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $47.15 / $56.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.55 / $63.55 / $88.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $44.29 / $59.33