go back

Ohio rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $77.16 / $90.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.01 / $44.89 / $121.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.96 / $124.75 / $155.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.36 / $135.15 / $249.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $47.38 / $59.52