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Maine rates for HCPCS V2315

Lenticular, (myodisc), per lens, trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $120.23 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $165.96