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New Jersey 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
$6.57 / $14.93 / $18.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.94 / $21.93 / $26.92
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.93 / $12.93 / $12.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $10.35 / $11.97