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Indiana rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $12.84 / $14.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $7.42 / $10.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $22.49 / $24.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $19.03 / $21.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $19.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $8.11 / $11.04