go back

South Carolina rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $71.83 / $85.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $86.83 / $106.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.86 / $73.84 / $101.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $42.32 / $50.05