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Ohio rates for HCPCS V2715

Prism, per lens

Facilitymedian $18 · 10th–90th $18–$180%50%100%$18Professionalmedian $11 · 10th–90th $6–$140%10%20%10th90th$11$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.96 / $14.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.12 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.14 / $19.95
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.92 / $10.47