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Alaska rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.81 / $90.90 / $153.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.36 / $153.93 / $184.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.77 / $153.63 / $161.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.87 / $153.93 / $184.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $130.47 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $80.68 / $219.29