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Maine rates for HCPCS V2715

Prism, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.96 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $19.05 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.76 / $6.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.91 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.92 / $12.30