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South Carolina rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Facilitymedian $78 · 10th–90th $48–$980%20%10th90th$78Professionalmedian $71 · 10th–90th $36–$870%20%40%10th90th$71$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $70.79 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $52.48