go back

Alabama rates for HCPCS V2103

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $33.95 / $36.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $46.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $17.73 / $24.49