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Vermont 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 / $12.05 / $20.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.67 / $23.67 / $26.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $18.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $18.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $14.21 / $55.42