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Connecticut 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 / $25.94 / $42.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $39.86 / $53.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.86 / $59.86 / $59.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $20.36 / $29.22