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California rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $72.68 / $105.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.75 / $218.75 / $218.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.88 / $100.57 / $121.16
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $306.25 / $447.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $65.00 / $133.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $109.04 / $151.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.98 / $224.77 / $575.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.69 / $727.74 / $758.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.09 / $121.16 / $121.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $130.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.67 / $228.67 / $228.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $45.34 / $127.73