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Virginia rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $63.22 / $88.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $115.60 / $115.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.43 / $67.43 / $67.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.44 / $115.44 / $115.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $42.61 / $42.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $91.45 / $114.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.22 / $66.73 / $107.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $130.00 / $225.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.04 / $79.33 / $120.30
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.11 / $79.33 / $120.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.42 / $48.02 / $59.07