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North Carolina rates for HCPCS V2715

Prism, Per Lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $11.62 / $13.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $13.95 / $13.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $20.22 / $20.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $6.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.22 / $20.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.44 / $7.34
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $88.35 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $127.13 / $139.50