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Maryland rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $36.52 / $50.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.95 / $38.95 / $38.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $24.43 / $24.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.27 / $58.39 / $83.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.06 / $27.74 / $36.40