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Arizona rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $72.23 / $97.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.58 / $89.06 / $133.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $45.34 / $710.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $45.34 / $65.04