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Missouri rates for HCPCS V2784

Lens, polycarbonate or equal, any index, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $44.67 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $30.20 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $53.70 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $40.74