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Washington, DC 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
$6.83 / $13.09 / $17.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $13.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $19.94 / $19.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.98 / $9.94 / $17.47