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Idaho rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $82.75 / $97.49
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
$65.94 / $90.90 / $111.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.20 / $105.77 / $111.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.30 / $172.58 / $217.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $43.14 / $45.34