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Washington, DC 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
$18.64 / $35.75 / $42.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $38.13 / $38.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $19.59 / $19.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.42 / $54.42 / $54.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.52 / $27.16 / $47.69