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Texas 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
$9.94 / $17.91 / $23.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.45 / $26.45 / $26.45
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $19.94 / $19.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $101.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.57 / $131.57 / $149.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $20.72 / $26.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $20.28 / $22.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.75 / $26.58 / $31.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $20.72 / $26.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $20.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $12.26 / $14.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $26.58 / $35.88