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Minnesota rates for HCPCS V2315

Lenticular,(Myodisc), Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.95 / $119.95 / $119.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $119.95 / $139.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.21 / $143.21 / $143.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.08 / $143.21 / $143.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.77 / $408.89 / $514.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.79 / $182.74 / $210.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.77 / $404.84 / $849.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $166.13 / $166.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.41 / $143.21 / $167.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $59.54 / $133.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $59.54 / $146.07