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Indiana rates for HCPCS V2101

Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $40.82 / $51.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.02 / $23.02 / $33.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.62 / $69.70 / $75.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.62 / $58.98 / $67.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $62.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $25.18 / $34.24