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Oklahoma rates for HCPCS V2121

Lenticular lens, per lens, single

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $74.13 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $56.23 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $64.57