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Oregon rates for HCPCS V2321

Lenticular Lens, Per Lens, Trifocal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $115.26 / $150.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $67.76 / $67.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.16 / $299.77 / $358.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.17 / $122.25 / $213.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.98 / $111.73 / $148.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.50 / $137.85 / $141.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $100.52 / $100.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.60 / $134.36 / $244.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $118.45 / $147.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.01 / $70.42 / $134.36