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Virginia 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 / $14.16 / $20.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $25.96 / $25.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $13.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.87 / $25.87 / $25.87
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
$16.95 / $18.94 / $23.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $14.66 / $22.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.92 / $27.00 / $46.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.65 / $16.43 / $24.92
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $16.43 / $24.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.94 / $12.65