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West Virginia rates for HCPCS V2115

Lenticular (myodisc), per lens, single vision

Facilitymedian $162 · 10th–90th $120–$1620%50%10th$162Professionalmedian $78 · 10th–90th $50–$980%20%10th90th$78$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $97.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $47.86 / $61.66