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Minnesota rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.08 / $87.08 / $87.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.71 / $79.56 / $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
$85.72 / $103.96 / $103.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.24 / $296.85 / $373.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.58 / $132.41 / $152.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.24 / $293.91 / $616.62
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $120.38 / $120.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.87 / $92.30 / $106.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $41.42 / $84.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $41.42 / $84.69