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California 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
$8.23 / $10.25 / $22.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $22.06 / $26.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.51 / $54.59 / $86.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $19.94 / $65.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $17.95 / $24.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $100.00 / $101.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $131.57 / $149.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $19.94 / $23.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $25.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $37.63 / $37.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.94 / $23.05