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Massachusetts rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $65.09 / $83.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.63 / $100.02 / $150.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.34 / $71.95 / $727.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $48.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $83.53 / $83.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $51.10 / $727.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.39 / $51.10 / $100.02