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Oklahoma 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
$10.57 / $20.01 / $20.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.28 / $23.28 / $23.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $20.02 / $26.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $12.37 / $26.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $9.94 / $14.27