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Maryland rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $62.37 / $100.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $66.53 / $66.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.72 / $99.72 / $142.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $47.38 / $64.23