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Oregon 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 / $16.84 / $17.64
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
$21.35 / $42.02 / $50.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $19.32 / $32.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $20.28 / $22.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $20.85 / $23.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $20.32 / $36.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $20.32 / $2,550,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.94 / $18.97