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Maine rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $58.77 / $73.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.89 / $240.89 / $240.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.32 / $121.16 / $121.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $83.53 / $83.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $58.77 / $73.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $51.10 / $117.51