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Arkansas rates for HCPCS V2755

U-V Lens Per Lens (Special Coverage Instructions Apply. See Mcm: 2130b)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $18.97 / $20.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $29.17 / $32.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $9.57 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $11.67 / $15.95