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Indiana rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.87 / $77.16 / $94.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.64 / $44.64 / $63.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.96 / $135.15 / $145.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $114.36 / $129.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $120.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $48.82 / $69.45