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Maine rates for HCPCS V2755

U-V lens, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $15.25 / $17.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.52 / $62.52 / $62.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $26.58 / $26.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $21.67 / $21.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $15.25 / $17.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $13.26 / $30.49