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Rhode Island rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $58.88 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $63.10 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $44.67 / $58.88