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Texas rates for HCPCS V2115

Lenticular (Myodisc), Per Lens, Sngle Vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.15 / $84.29 / $103.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
$177.98 / $215.06 / $539.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.98 / $585.98 / $687.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.19 / $92.65 / $118.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.86 / $100.13 / $100.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.46 / $118.38 / $127.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.19 / $94.40 / $118.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $71.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $54.61 / $63.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $118.38 / $159.81