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Michigan 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 / $16.26 / $18.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.11 / $20.11 / $20.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $21.12 / $27.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $29.06
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $15.31 / $18.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.56 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $9.44 / $12.77