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Tennessee rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $73.97 / $89.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.00 / $999.00 / $999.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.57 / $469.78 / $539.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.98 / $585.98 / $687.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $40.00 / $45.77