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Michigan rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $77.16 / $87.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.96 / $103.96 / $103.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.76 / $109.16 / $140.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $150.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.37 / $73.75 / $97.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $12.27 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $48.82 / $62.50