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California rates for HCPCS V2215

Lenticular (myodisc), per lens, bifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $88.89 / $117.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.60 / $245.60 / $245.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.01 / $112.92 / $136.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $343.85 / $502.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $48.97 / $48.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $95.89 / $149.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $122.43 / $170.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.86 / $258.42 / $646.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.30 / $813.38 / $898.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.09 / $136.03 / $136.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.97 / $48.97 / $147.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.75 / $256.75 / $256.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $50.90 / $176.98