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Virginia rates for HCPCS V2121

Lenticular Lens, Per Lens, Sngle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.52 / $62.37 / $90.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.60 / $118.32 / $118.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $66.53 / $66.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.50 / $119.50 / $119.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.72 / $90.22 / $113.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $66.50 / $105.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.03 / $128.00 / $222.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.18 / $78.26 / $118.68
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.18 / $78.26 / $118.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.82 / $47.38 / $57.95