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Maine rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.00 / $11.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.81 / $32.81 / $32.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.60 / $18.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $11.38 / $11.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.00 / $11.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.96 / $16.01