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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
$15.85 / $32.36 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.44 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.42 / $30.20