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Arizona 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
$16.86 / $32.64 / $42.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $12.14 / $13.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $33.90 / $44.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $34.53 / $54.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $20.36 / $261.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $20.36 / $29.22