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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
$16.98 / $33.88 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.02 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $35.48 / $57.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.42 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.42 / $30.90